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STEVEN BRADLEY PELFREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
55094
WV
367500000X
Certified Registered Nurse Anesthetist
3006379
KY
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN55094
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810012989
WV
01
550696369-00
WV WORKERS COMP
WV
05
7100111360
KY
Enumeration date
10/23/2007
Last updated
12/07/2020
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