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Individual

DR. PAUL J. POCKROS

Active
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Individual

DR. PAUL J. POCKROS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G39713
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G397130
CA
01
100004079
RAILROAD MEDICARE
01
F228
CHAMPUS
Enumeration date
04/12/2006
Last updated
06/29/2009
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