Organization
H. EDUARDO PAVON M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HECTOR EDUARDO PAVON M.D. (OWNER)
(270) 522-6684
Entity
Organization
Contact information
Practice address
298 MAIN ST, SUITE 2, CADIZ, KY 42211-9155
(270) 522-6684
(270) 522-6673
Mailing address
298 MAIN ST, SUITE 2, CADIZ, KY 42211-9155
(270) 522-6684
(270) 522-6673
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
LL441
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64994411
—
KY
Enumeration date
02/22/2010
Last updated
02/22/2010
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