Individual
DR. MARIA A PAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
154 BOGLE OFFICE PARK DRIVE, SUITE B, SOMERSET, KY 42503-2810
(606) 451-3958
(606) 676-0110
Mailing address
PO BOX 719, SOMERSET, KY 42502-0719
(606) 451-3958
(606) 676-0110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
32321
KY
2084N0400X
Neurology Physician
Primary
32321
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
32321
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64323215
—
KY
Enumeration date
06/07/2006
Last updated
10/16/2014
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