Individual
ANDREA PEPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2011033304
MO
208000000X
Pediatrics Physician
Primary
ME 125037
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265753701
—
MO
Enumeration date
06/18/2010
Last updated
11/03/2016
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