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Individual

MR. JAMES E PEARL

Active
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Individual

MR. JAMES E PEARL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
76-159612-1205
UT
207RP1001X
Pulmonary Disease Physician
Primary
76-159612-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010006858
RGENCE BLUE SHIELD
ID
05
000371439
NV
05
003011000
ID
01
107005238103
IHC
05
107990500
WY
01
3046
PEHP
01
31053
STATE FARM
01
35993
DMBA
01
48-00035
UHC
01
48844901
FIRST HEALTH
01
870371439
P5 HEALTH SERVICE
01
8703714390001
CIGNA
01
870371439001
MBA
Enumeration date
08/11/2005
Last updated
09/15/2021
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