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Individual

JASON MATTHEW COGDILL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
40495
IA
207RN0300X
Nephrology Physician
40495
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
40495
IOWA LICENSE NUMBER
IA
01
99979
OHIO LICENSE NUMBER
OH
Enumeration date
07/15/2006
Last updated
09/12/2013
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