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Individual
PEDRO ACEVES-CASILLAS
Active
Individual
PEDRO ACEVES-CASILLAS
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
A95197
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A95197
MEDICAL LICENSE FOR CA
CA
Enumeration date
07/07/2006
Last updated
10/28/2014
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