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JOHN ATHANS — OIG Excluded Provider (PHOENIX, AZ, 1128b4)

JOHN ATHANS — OIG Excluded Provider (PHOENIX, AZ, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: JOHN ATHANS; Type: Individual; Provider category: OSTEOPATHIC PRAC.

NameJOHN ATHANS
TypeIndividual
Provider categoryOSTEOPATHIC PRAC
SpecialtyOSTEOPATHY
CityPHOENIX
StateAZ
ZIP85029
Exclusion authority1128b4
Exclusion reasonLicense revocation, suspension, or surrender
Exclusion date2000-08-20
SourceHHS-OIG LEIE

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