Individual
DAVID A PEGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-6932
(310) 301-8751
Mailing address
3400 SPRUCE STREET, GROUND PENN TOWER, PHILADELPHIA, PA 19104
(215) 662-6932
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
G83265
CA
207RI0200X
Infectious Disease Physician
Primary
MD039763E
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G832650
—
CA
Enumeration date
07/20/2006
Last updated
10/31/2011
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