| # |
Taxonomy Code |
Taxonomy |
License Number |
License Number State |
| 1 | 207Q00000X | Family Medicine Physician | 247413 | TN |
| 2 | 207Q00000X | Family Medicine Physician | V2622 | TX |
| 3 | 207Q00000X | Family Medicine Physician | 35C.001752 | OH |
| 4 | 207Q00000X | Family Medicine Physician | 13708212-1205 | UT |
| 5 | 207Q00000X | Family Medicine Physician | 25MA12074000 | NJ |
| 6 | 207Q00000X | Family Medicine Physician | 327654-01 | NY |
| 7 | 207Q00000X | Family Medicine Physician | MD483473 | PA |
| 8 | 207Q00000X | Family Medicine Physician | D0102315 | MD |
| 9 | 207Q00000X | Family Medicine Physician | 82918 | MN |
| 10 | 207Q00000X | Family Medicine Physician | A131705 | CA |
| 11 | 207Q00000X | Family Medicine Physician | 01100579A | IN |
| 12 | 207Q00000X | Family Medicine Physician | 0004148 | CO |
| 13 | 207Q00000X | Family Medicine Physician | 036168544 | IL |
| 14 | 207Q00000X | Family Medicine Physician | 4657-320 | WI |
| 15 | 207Q00000X | Family Medicine Physician | ME146999 | FL |