Healthcare Provider Details

I. General information

NPI: 1255642294
Provider Name (Legal Business Name): AARON PINION DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2010
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 MAIN ST NW
ELK RIVER MN
55330-1270
US

IV. Provider business mailing address

816 22ND AVE STE 100
KEARNEY NE
68845-2226
US

V. Phone/Fax

Practice location:
  • Phone: 763-241-5800
  • Fax: 763-241-5835
Mailing address:
  • Phone: 763-241-5800
  • Fax: 763-241-5835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number9407508
License Number StateKS
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License Number2447
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number58998
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: