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Individual

DARREN THOMAS WHEELER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
10838
NV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100505422
NV
01
10838
MEDICAL LICENSE
NV
01
C54340
MEDICAL LICENSE
CA
01
MD00039625
MEDICAL LICENSE
WA
Enumeration date
08/02/2006
Last updated
03/18/2011
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