Basic Information
| Provider Information | |||||||||
| NPI: | 1265473193 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PAJEL | ||||||||
| FirstName: | PERCIVAL | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 277 ROY CAMPBELL DR | ||||||||
| Address2: | |||||||||
| City: | HAZARD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 417019485 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064351708 | ||||||||
| FaxNumber: | 6064352445 | ||||||||
| Practice Location | |||||||||
| Address1: | 277 ROY CAMPBELL DR | ||||||||
| Address2: | |||||||||
| City: | HAZARD | ||||||||
| State: | KY | ||||||||
| PostalCode: | 417019485 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6064351708 | ||||||||
| FaxNumber: | 6064352445 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | 22494 | KY | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.