| # |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
| 1 | 207Q00000X | Family Medicine Physician | 69812 | ID |
| 2 | 207Q00000X | Family Medicine Physician | 0024182130 | VA |
| 3 | 207Q00000X | Family Medicine Physician | 0996785-NP | CO |
| 4 | 207Q00000X | Family Medicine Physician | 12525880-4405 | UT |
| 5 | 207Q00000X | Family Medicine Physician | 305650 | AZ |
| 6 | 207Q00000X | Family Medicine Physician | AP61300639 | WA |
| 7 | 207Q00000X | Family Medicine Physician | 2025037773 | MO |
| 8 | 207Q00000X | Family Medicine Physician | 68463 | NM |
| 9 | 207Q00000X | Family Medicine Physician | APRN-3650 | HI |
| 10 | 207Q00000X | Family Medicine Physician | 875557 | NV |
| 11 | 207Q00000X | Family Medicine Physician | 202213858NP-PP | OR |
| 12 | 363LF0000X | Family Nurse Practitioner | 95000363 | CA |