Individual
CLARO TESORO PALMA
Active
Individual
CLARO TESORO PALMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
82720
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0133629
—
IA
01
—
42141730753
JOHN DEERE HEALTH INS PLA
IA
01
—
52996
WELLMARK INS PLAN
IA
Enumeration date
05/20/2006
Last updated
07/08/2019
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