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Individual
JUAN C. AREVALO
Active
Individual
JUAN C. AREVALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD428052
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015523420001
—
PA
01
—
1782605
CIGNA
PA
01
—
1836331
HIGHMARK BLUE SHIELD
PA
01
—
251754199019
MEDICAL MUTUAL OF OHIO
PA
01
—
4235190002
NATIONAL SUPPLIERS CLEARINGHOUSE
PA
01
—
84502
HEALTH AMERICA
PA
01
—
P00320710
PALMETTO GBA-RAILROAD MC
PA
Enumeration date
04/05/2006
Last updated
03/19/2015
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