1568449411 NPI number — MRS. PATRICIA JUNE PEZZAROSSI M.D.

Table of content: MRS. PATRICIA JUNE PEZZAROSSI M.D. (NPI 1568449411)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568449411 NPI number — MRS. PATRICIA JUNE PEZZAROSSI M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PEZZAROSSI
Provider First Name:
PATRICIA
Provider Middle Name:
JUNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1568449411
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
210 S WINCHESTER AVE
Provider Second Line Business Mailing Address:
136
Provider Business Mailing Address City Name:
MILES CITY
Provider Business Mailing Address State Name:
MT
Provider Business Mailing Address Postal Code:
59301-4742
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
406-234-8793
Provider Business Mailing Address Fax Number:
406-234-8796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
210 S WINCHESTER AVE
Provider Second Line Business Practice Location Address:
136
Provider Business Practice Location Address City Name:
MILES CITY
Provider Business Practice Location Address State Name:
MT
Provider Business Practice Location Address Postal Code:
59301-4742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
406-234-8793
Provider Business Practice Location Address Fax Number:
406-234-8796
Provider Enumeration Date:
12/30/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208000000X , with the licence number:  6252 , registered in the state of MT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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