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Individual
ALBERT D PACIFICO
Active
Individual
ALBERT D PACIFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
3999
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00123025
MISSISSIPPI MEDICAID
MS
01
—
11576
HEALTHSPRING OF ALABAMA
AL
01
—
C76389
VIVA
AL
Enumeration date
07/05/2006
Last updated
07/08/2007
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