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RONALD LYNN PEVETO MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1912979014

Individual Registrant:
 RONALD LYNN PEVETO MD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
6900 ALDEN DR ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE F.E. WARREN AFB, WY 82005-3906 US
Tel: 307-773-5732  Fax: 307-773-3809

Contact information for business:
6900 ALDEN DR ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE F.E. WARREN AFB, WY 82005-3906 US
Tel: 307-773-5732  Fax: 307-773-3809

Registration Information:
NPI: 1912979014
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
TXG5479
Y2083A0100XAllopathic & Osteopathic Physicians
Preventive Medicine
CO38113

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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