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Individual

MR. ANTHONY DALE UDZIELA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY01064
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00007511UDZ
MERCY HEALTH PLAN
01
061234
EXCLUSIVE CHOICE
01
118890
HEALTHLINK
01
132604
CMR
01
26999
BLUE CROSS BLUE SHIELD OF
MO
01
6153019
UNITED HEALTHCARE UNITED
01
A805509
VALUEOPTIONS
Enumeration date
09/26/2006
Last updated
07/08/2007
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