Organization
NATHANIEL M PASCUAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHANIEL PASCUAL MD (PRESIDENT)
(719) 445-9167
Entity
Organization
Contact information
Practice address
8540 SCARBOROUGH DR STE 370, COLORADO SPRINGS, CO 80920-7519
(719) 445-9167
(888) 900-1252
Mailing address
PO BOX 64080, COLORADO SPRINGS, CO 80962-4080
(719) 445-9167
(888) 900-1252
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11903767
—
CO
01
—
COAAA0692
MEDICARE PTAN
CO
Enumeration date
04/06/2011
Last updated
01/03/2012
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