Individual
DR. JOSEPH JOHN PAVELITES I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
301 ANDREWS AVE, LYSTER ARMY MEDICAL CENTER, FORT RUCKER, AL 36362-5333
(334) 255-7000
Mailing address
17 BRADY LN, FORT RUCKER, AL 36362-2361
(574) 339-9380
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
Primary
01070632A
IN
2083X0100X
Occupational Medicine Physician
01070632A
IN
Other
Enumeration date
07/07/2010
Last updated
06/19/2014
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