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Individual

DAVID BRIAN HOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
G50542
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10-00019
MEDICA PRIMARY
MN
01
10-22588
MEDICA CHOICE
MN
01
100883
UCARE
MN
01
1009140
PREFERRED ONE
MN
01
2T113HO
BCBS
MN
05
357595100
MN
01
768158
ARAZ
MN
01
HP19879
HEALTHPARTNERS
MN
Enumeration date
07/10/2006
Last updated
09/20/2019
Update your record

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