Individual
LORETTA PFEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PAC0196
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18203
BLUE SHIELD
ND
01
—
18205
BLUE SHIELD
ND
01
—
25984
BLUE SHIELD
ND
01
—
28590
BLUE SHIELD
ND
01
—
28591
BLUE SHIELD
ND
01
—
28592
BLUE SHIELD
ND
01
—
28593
BLUE SHIELD
ND
05
—
71114
—
ND
01
—
970009830
RAILROAD MEDICARE
ND
01
—
CF8850
RAILROAD MEDICARE
ND
Enumeration date
10/19/2005
Last updated
01/22/2014
Update your record
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