Individual
BERNARD PEGIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0300
Mailing address
1000 N SHENANDOAH AVE, FRONT ROYAL, VA 22630-3547
(540) 636-0300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244588
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
34876900
—
WI
Enumeration date
06/02/2006
Last updated
03/21/2014
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