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Individual

MR. JOSE M ARIAS

Active
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Individual

MR. JOSE M ARIAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
35955
KY
207T00000X
Neurological Surgery Physician
Primary
DR.0072591
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000388452
ANTHEM
KY
05
200267660A
IN
05
64018229
KY
Enumeration date
05/24/2005
Last updated
03/13/2024
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