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Individual
ANTHONY VIDA
Active
Individual
ANTHONY VIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01082175A
IN
207Q00000X
Family Medicine Physician
4301105211
MI
208M00000X
Hospitalist Physician
01082175A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300027549
—
IN
Enumeration date
05/16/2014
Last updated
03/30/2026
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