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Organization

TIGER PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN B PECORAK MD (MEDICAL DOCTOR)
(573) 777-7627
Entity
Organization

Contact information

Practice address
303 N KEENE ST, SUITE 404, COLUMBIA, MO 65201-7193
(573) 777-7627
(573) 777-4596
Mailing address
303 N KEENE ST, SUITE 404, COLUMBIA, MO 65201-7193
(573) 777-7627
(573) 777-4596

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
08/09/2011
Last updated
08/09/2011
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