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Individual

ANDREW CAGLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
01051054A
IN
2080P0205X
Pediatric Endocrinology Physician
Primary
01051054A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000365393
ANTHEM
IN
01
000000700863
ANTHEM
IN
05
200501800
IN
Enumeration date
07/26/2006
Last updated
07/28/2015
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