Individual
DAVID PECORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3216
(218) 335-3204
Mailing address
425 7TH ST NW, CASS LAKE, MN 56633-3360
(218) 335-3216
(218) 335-3204
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103061
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410684900
—
MN
01
—
995N6PE
BCBSM
MN
Enumeration date
12/20/2006
Last updated
07/08/2007
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