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DR. PEDRO ARCHEVALD MD
>> Military Health Care Provider >> Other Service ProvidersRegistrant NPI Number: 1821165176
Individual Registrant:DR. PEDRO ARCHEVALD MD
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
300 W HOSPITAL RD FORT GORDON, GA 30905-5741 US
Tel: 706-787-1910 Fax: --
Tel: 706-787-1910 Fax: --
Contact information for business:
300 W HOSPITAL RD EISENHOWER ARMY MED CEN, ANESTHESIA SERVICE FORT GORDON, GA 30905-5741 US
Tel: 706-787-1910 Fax: --
Tel: 706-787-1910 Fax: --
Registration Information:
NPI: 1821165176
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 171000000X | Other Service Providers Military Health Care Provider | MO | 108271 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
