Organization
LEO P. PAJARILLO, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEO PANTILLA PAJARILLO M.D. (PRESIDENT)
(304) 235-5225
Entity
Organization
Contact information
Practice address
701 COLLEGE HL, WILLIAMSON, WV 25661-3300
(304) 235-5225
(304) 235-5282
Mailing address
701 COLLEGE HILL, P.O. BOX 380, WILLIAMSON, WV 25661-3300
(304) 235-5225
(304) 235-5282
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0112030000
—
WV
05
—
64698426
—
KY
Enumeration date
02/25/2009
Last updated
02/25/2009
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