Individual
DR. EMIL J PECHOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
608 NW 7TH ST, POCAHONTAS, IA 50574-1000
(712) 335-5632
Mailing address
24 N 9TH ST, SUITE A, FORT DODGE, IA 50501-3905
(515) 574-6890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2804
IA
207Q00000X
Family Medicine Physician
33942
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124099932
—
IA
05
—
838002300
—
MN
01
—
P00710402
RR MEDICARE - DC
IA
01
—
P00725349
RR MEDICARE - SG
IA
Enumeration date
01/30/2006
Last updated
06/26/2013
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