Individual
DR. PATRICK SCOTT PEVOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2373 G RD, STE 270, GRAND JUNCTION, CO 81505-1002
(970) 242-2429
Mailing address
2373 G RD, STE 270, GRAND JUNCTION, CO 81505-1002
(970) 242-2429
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
51000
CO
207V00000X
Obstetrics & Gynecology Physician
MD195837
OR
207VX0000X
Obstetrics Physician
MD6099378
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
46686258
—
CO
Enumeration date
08/01/2006
Last updated
08/05/2020
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