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Individual
BRIAN L. WARE
Active
Individual
BRIAN L. WARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
1200259
KS
213E00000X
Podiatrist
Primary
2010001728
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43457014
BCBS/PHP
MO
01
—
4647058
AETNA
MO
01
—
P00822750
RR
MO
01
—
P00829204
RR
KS
Enumeration date
01/25/2007
Last updated
08/10/2010
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