Individual
DR. MICHAEL PATRICK PAVALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2495 SHREVEPORT HWY APT 407, PINEVILLE, LA 71360-4044
(318) 466-0010
Mailing address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 466-0010
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1485
NE
Other
Enumeration date
11/05/2007
Last updated
10/23/2023
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