Individual
DR. PREDRAG PAVLOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1624 S 21ST ST STE B, COLORADO SPRINGS, CO 80904-4296
(719) 955-3621
Mailing address
1624 S 21ST ST STE B, COLORADO SPRINGS, CO 80904-4296
(719) 955-3621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
005929
AZ
207Q00000X
Family Medicine Physician
Primary
DR0055445
CO
207Q00000X
Family Medicine Physician
N5327
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
428866YKRD
MEDICARE NUMBER
CO
05
—
52271722
—
CO
Enumeration date
03/20/2010
Last updated
12/01/2021
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