Individual
DR. HUMBERTO F PAVON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5700 LAKE WRIGHT DR, SUITE 101, NORFOLK, VA 23502-1859
(757) 502-4840
(757) 502-4841
Mailing address
5700 LAKE WRIGHT DR, SUITE 101, NORFOLK, VA 23502-1859
(757) 502-4840
(757) 502-4841
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101024987
VA
207RN0300X
Nephrology Physician
0101024987
VA
Other
Enumeration date
07/07/2005
Last updated
12/08/2009
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