Individual
KOJI NISHIMURA
Active
Individual
KOJI NISHIMURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
0101054889
VA
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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