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Individual

JOHN W CANADY

Active
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Individual

JOHN W CANADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
24286
IA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
24286
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0297572
IA
01
29757
WELLMARK BCBS
IA
Enumeration date
08/24/2005
Last updated
11/28/2007
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