Unknown Individual – Family Medicine Physician, NPI 1669436424
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
225, Cambridge Way, Easthill, Pleasantside, Port Moody, Metro Vancouver Regional District, British Columbia, V3H 2M5, Canada
COLUMBIA, MO 652050225
Phone: (419) 357-9504
Type: Mailing
Veteran's Way, Williamsburg, Sierra County, New Mexico, 87942, United States
MEXICO, MO 652653379
Phone: (419) 357-9504
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 65205)
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