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Individual

JOSEPH A ALDRICH JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
E2419
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100182780A
OK
05
138410003
AR
05
139673220
MO
05
20060901A
KS
Enumeration date
10/05/2005
Last updated
02/13/2015
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