Individual
THALES N PAVLATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 W MAIN ST, SPRINGFIELD, OH 45502-1312
(937) 521-3900
Mailing address
PO BOX 632621, CINCINNATI, OH 45263-2621
(706) 650-0705
(706) 650-1034
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35051485P
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35051485
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0598698
—
OH
Enumeration date
08/24/2006
Last updated
02/25/2013
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