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Individual
DR. JOHN DUNLOP HANDLEY
Active
Individual
DR. JOHN DUNLOP HANDLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G9748
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K07N
BSBC PROVIDER ID
TX
01
—
1932282019
NPI
TX
01
—
419857
WELLCARE
TX
01
—
C16543
UPIN
TX
01
—
P00447175
MEDICARE RAILROAD PTAN
TX
Enumeration date
10/23/2006
Last updated
02/20/2012
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