Individual
DR. JOHN P OUDERKIRK
Active
Individual
DR. JOHN P OUDERKIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
049992
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000926318A
—
GA
01
—
2647814
AETNA HMO
GA
01
—
440003559
RAILROAD MEDICARE
GA
01
—
453538
CHAMPUS
GA
01
—
7439283
US HEALTH
GA
01
—
8625897001
CIGNA HMO
GA
Enumeration date
07/29/2005
Last updated
07/27/2016
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