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Individual

MR. JEREMY D PFEIL

Active
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Individual

MR. JEREMY D PFEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-109947
AL
363L00000X
Nurse Practitioner
Primary
1-109947
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209988
—
AL
01
—
512-02225
BCBS OF AL
AL
01
—
A00294K874
MEDICARE
AL
01
—
Z87762
VIVA HEALTH
AL
Enumeration date
05/26/2016
Last updated
10/30/2018
About Stedi
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