Organization Name: | H. EDUARDO PAVON M.D. |
NPI Number: | 1487976163 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HECTOR EDUARDO PAVON (OWNER) |
Mailing Address: | 298 Main St Suite 2 Cadiz |
State: | KY US |
Postal Code: | 422119155 |
Phone Number: | 2705226684 |
Fax Number: | 2705226673 |
NPI Enumeration Date: | 02/22/2010 |
NPI Last Update Date: | 02/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 282NR1301X |
License Number: | LL441 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | General Acute Care Hospital |
Taxonomy Specialization: | Rural |
Taxonomy Definition: |