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Organization

PEGASUS EMERGENCY GROUP MOBERLY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY V RUZICH MD (PRESIDENT)
(518) 268-5338
Entity
Organization

Contact information

Practice address
1515 UNION AVE, MOBERLY, MO 65270-9407
(660) 263-8400
(660) 269-3273
Mailing address
12 GILL ST, SUITE 3000, WOBURN, MA 01801-1765
(781) 937-4522
(781) 937-6442

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Enumeration date
08/25/2009
Last updated
01/13/2010
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