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Individual

GRANT K MAULDIN

Active
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Individual

GRANT K MAULDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13115
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080027069
RAILROAD MEDICARE
OK
05
100111630A
OK
01
141657700
DEPT OF LABOR
OK
01
4351614
AETNA
OK
Enumeration date
09/30/2005
Last updated
07/26/2013
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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