Individual
JOHN B PECORAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
509 BILTMORE AVE, ASHEVILLE, NC 28801-4601
(828) 213-1751
Mailing address
PO BOX 2409, CASHIERS, NC 28717-2409
(573) 823-3111
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
24487
NC
2080A0000X
Pediatric Adolescent Medicine Physician
2005024068
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207504200
—
MO
Enumeration date
05/05/2006
Last updated
08/11/2022
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