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Individual

DR. WILLIAM MATTHEW VASSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
01062118A
IN
2086S0127X
Trauma Surgery Physician
Primary
84759
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000480122
ANTHEM BC/BS
IN
05
200822770
IN
05
64123482
KY
01
P00346020
RAILROAD MEDICARE
IN
Enumeration date
05/02/2006
Last updated
01/10/2020
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