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Individual

DR. LINDA DAVIS MAWHORTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27349
CO
207RI0200X
Infectious Disease Physician
27349
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
83126058
CO
01
840255530038
ROCKY MTN HEALTH PLANS
CO
01
P00255204
MEDICARE RAILROAD CARRIER
CO
Enumeration date
12/06/2005
Last updated
02/05/2008
Update your record

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