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Individual

DONALD IAN CAMERON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35047115C
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000132630
ANTHEM
05
0516061
OH
01
C02534
UPIN
Enumeration date
11/05/2007
Last updated
04/30/2017
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