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Individual

DR. JASON THOMAS CADWALLADER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01067114A
IN
207R00000X
Internal Medicine Physician
11013833A
IN
207R00000X
Internal Medicine Physician
Primary
DR.0074625
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000685913
ANTHEM
IN
05
200980050
IN
Enumeration date
05/21/2008
Last updated
04/22/2025
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