Organization
PACIFICO D DORADO MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PACIFICO DORADO MD (PRESIDENT)
(740) 532-6634
Entity
Organization
Contact information
Practice address
2213 SO 9TH ST, IRONTON, OH 45638
(740) 532-6634
Mailing address
PO BOX 605, IRONTON, OH 45638-0605
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
35034105
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0833594
—
OH
Enumeration date
03/19/2008
Last updated
09/24/2008
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