Individual
ALAN WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
D55485
MD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
G89458
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
485300800
—
MD
01
—
KR4026CC
MEDICARE
MD
Enumeration date
06/22/2006
Last updated
01/06/2014
Update your record
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