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Individual
BRIAN C JOONDEPH
Active
Individual
BRIAN C JOONDEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
04-30566
KS
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
04-30566
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44626347
—
CO
Enumeration date
05/16/2006
Last updated
03/11/2020
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