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Organization

MICHEAL C PISTOLE, MD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHEAL PISTOLE M.D. (OWNER)
(202) 331-1042
Entity
Organization

Contact information

Practice address
2112 F ST NW, SUITE 603, WASHINGTON, DC 20037-2715
(202) 331-1042
Mailing address
2112 F ST NW, SUITE 603, WASHINGTON, DC 20037-2715

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD13378
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
023385800
DC
Enumeration date
10/18/2007
Last updated
08/11/2008
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