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NPI Code Detail

MEDICARE: DR. VIANMAR G. PASCUAL MD

MEDICARE: DR. VIANMAR G. PASCUAL 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
1174400000XSpecialist0101023020VA

General Provider Information

NPI Number : 1477559482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VIANMAR G. PASCUAL MD
Provider Business Mailing Address
First Line : 1515 LAWRIE TATUM RD
Second Line :
City : LAWTON
State : OK
Zip : 73507-3002
Country : US
Telephone Number : 580-353-0350
Fax Number :
Provider Business Practice Location Address
First Line : 1515 NE LAWRIE TATUM RD
Second Line :
City : LAWTON
State : OK
Zip : 73507-3002
Country : US
Telephone Number : 580-353-0350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2005
Last Update Date : 02/25/2008

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Directions to “ DR. VIANMAR G. PASCUAL MD” Practice Location

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