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Individual
ERIC KEONI POMAZAL
Active
Individual
ERIC KEONI POMAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
085001151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01615954
BLUECROSSBLUESHIELD
IL
01
—
131024700
DEPT OF LABOR OWCP
—
Enumeration date
03/26/2008
Last updated
07/25/2023
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