Individual
NESTOR A PAMATMAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3333 N SEMINARY ST, GALESBURG, IL 61401-1251
(309) 344-3161
Mailing address
PO BOX 9518, PEORIA, IL 61612-9518
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036093276
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360932762
—
IL
Enumeration date
05/18/2006
Last updated
05/12/2011
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