Individual
DR. CATHERINE VADIME NETCHVOLODOFF
Active
Individual
DR. CATHERINE VADIME NETCHVOLODOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
R-4121
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118448001
—
AR
01
—
19787
MS STATE MEDICAL LICENSE
MS
01
—
R4121
ARKANSAS STATE MEDICAL LICENSE
AR
Enumeration date
07/08/2008
Last updated
07/08/2008
Update your record
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