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Individual
MICHAEL F PINGREE
Active
Individual
MICHAEL F PINGREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
5117971-1205
UT
207W00000X
Ophthalmology Physician
Primary
5117971-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51179711200001
BLUE CROSS BLUE SHIELD
UT
Enumeration date
08/31/2006
Last updated
06/24/2024
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