Individual
JOHN PHILLIP ROSS PEMBERTON
Active
Individual
JOHN PHILLIP ROSS PEMBERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101288612
VA
207R00000X
Internal Medicine Physician
Primary
0116036502
VA
208000000X
Pediatrics Physician
0101288612
VA
208000000X
Pediatrics Physician
0116036502
VA
Other
Enumeration date
02/10/2022
Last updated
06/23/2026
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