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Individual

DR. JAMES DOUGLAS STUDDARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
26911
OK
207VX0000X
Obstetrics Physician
Primary
C-4534
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104711001
AR
01
11273000000
QUALCHOICE
AR
01
4211921
AETNA
AR
01
55171
BLUE CROSS BLUE SHIELD
AR
01
7420073
UNITEDHEALTHCARE
AR
Enumeration date
03/14/2006
Last updated
10/15/2020
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