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Individual
DR. PAVEL PRIBULA
Active
Individual
DR. PAVEL PRIBULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD067594L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001794117/0004
—
PA
01
—
002112
FIRST PRIORITY HEALTH
PA
01
—
01089801
CAPITAL BLUE CROSS
PA
01
—
160150
HIGHMARK
PA
01
—
48130
GEISINGER HEALTH PLAN
PA
01
—
CQ88
HEALTH AMERICA/HEALTH ASS
PA
01
—
P006026
GATEWAY HEALTH PLAN
PA
01
—
PR160150
HEALTH ONE
PA
Enumeration date
07/26/2005
Last updated
10/08/2010
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