Individual
RONALD LYNN PEVETO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6900 ALDEN DR, ATTN: 90 MDG/SGP - CHIEF, AEROSPACE MEDICINE, F.E. WARREN AFB, WY 82005-3906
(307) 773-5732
(307) 773-3809
Mailing address
10TH MEDICAL GROUP, 4102 PINION DRIVE, USAF ACADEMY, CO 80840
(719) 333-5187
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38113
CO
207Q00000X
Family Medicine Physician
G5479
TX
2083A0100X
Aerospace Medicine Physician
38113
CO
Other
Enumeration date
02/02/2006
Last updated
10/27/2023
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