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Individual

DR. JEFFERSON ROBERT THURLBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101242416
VA
207L00000X
Anesthesiology Physician
21664
OK
207L00000X
Anesthesiology Physician
Primary
E7407
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191009001
AR
Enumeration date
02/09/2006
Last updated
04/17/2012
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