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Individual

DR. JOHN W WARREN

Active
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Individual

DR. JOHN W WARREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
D21377
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0223729000
WV
05
036599400
DC
05
1548202625
DE
01
367770-01
BLUE CROSS/BLUE SHIELD
MD
05
984061300
MD
Enumeration date
06/12/2006
Last updated
11/15/2010
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