Individual
JEFFERY M PINNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 W 4TH ST, ODESSA, TX 79761-5001
(432) 640-4000
Mailing address
4001 FAUDREE RD, APT #G305, ODESSA, TX 79765-8620
(717) 851-5420
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
A112187
CA
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
N6583
TX
Other
Enumeration date
11/16/2007
Last updated
01/06/2012
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