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Individual

DR. DENNIS J SPLAIN

Active
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Individual

DR. DENNIS J SPLAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS003950L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0011749620001
PA
05
0011749620009
PA
01
0040612000
IBC
01
01566701
CBC CREST
01
01566702
CBC NIC
01
1090059
AMERIHEALTH MERCY CREST
01
109969
HIGHMARK BLUE SHIELD
01
125483
UNISON CREST
01
125484
UNISON NIC
01
20021129
AMERIHEALTH MERCY NIC
01
300034751
RR MEDICARE CREST
01
300121491
RR MEDICARE NIC
Enumeration date
09/27/2005
Last updated
08/17/2010
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