Individual
JEFFREY PFEIFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
544 WEST PERSHING ROAD, SUITE A, DECATUR, IL 62526
(217) 872-2400
Mailing address
544 WEST PERSHING ROAD, SUITE A, DECATUR, IL 62526
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036104247
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-104247
—
IL
Enumeration date
12/05/2005
Last updated
11/15/2017
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