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Individual

FERDINAND G PAMPOLINA

Active
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Individual

FERDINAND G PAMPOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-39409
KS
207R00000X
Internal Medicine Physician
2005013269
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
068002419
MEDICARE PTAN
KS
01
1427729
AETNA
01
1844371
UNITED HEALTH CARE
01
1912909052
TRICARE
01
35360031
BCBS
01
5968832
CIGNA
Enumeration date
06/01/2005
Last updated
10/18/2023
Update your record

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