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Individual
ROBERT L MCQUADY JR.
Active
Individual
ROBERT L MCQUADY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
15528
KY
207RA0401X
Addiction Medicine (Internal Medicine) Physician
01079670A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
01079670A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01079670A
STATE LICENSE
IN
05
—
300010808
—
IN
01
—
IN3604023
MEDICARE PTAN
IN
01
—
K177821
MEDICARE KY
KY
Enumeration date
10/27/2006
Last updated
11/08/2021
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