| NPI | 1255502753 |
|---|---|
| Former Legal Business Name | JOHN M PAV MD PC |
| Entity Type | Organization |
| Authorized Contact | RICHARD A MOUCHANTAT Physician/Owner 303-232-8585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2008-03-12 |
| Last Update Date | 2015-09-17 |