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Individual
TROY VIRGIL MAYPA TADURAN
Active
Individual
TROY VIRGIL MAYPA TADURAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
05-34185
KS
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
05-34185
KS
207Q00000X
Family Medicine Physician
05-34185
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006444
LICENSE
AZ
01
—
05-34185
LICENSE
KS
01
—
OS 9896
LICENSE
FL
Enumeration date
05/11/2007
Last updated
03/29/2016
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