MEDICARE: PAUL CHRISTIAN PFLUEGER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	37966	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386647998
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL CHRISTIAN PFLUEGER MD

Provider Business Mailing Address
First Line	:	1223 WILLOW CREEK RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-1427
Country	:	US
Telephone Number	:	928-777-9950
Fax Number	:	928-777-9975

Provider Business Practice Location Address
First Line	:	1223 WILLOW CREEK RD
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86301-1427
Country	:	US
Telephone Number	:	928-777-9950
Fax Number	:	928-777-9975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2005
Last Update Date	:	10/07/2010

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