Individual
MR. STEVEN ANTHONY PAVKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
G74968
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G749680
BLUE SHIELD
CA
05
—
00G749680
—
CA
01
—
440002887
RAILROAD RETIREMENT
GA
Enumeration date
10/19/2006
Last updated
09/05/2020
Update your record
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