Dr. David Nelson Pfohl
Geriatric Medicine
45 Pebble Hill Dr
Belleville
, Illinois 62223-2249
Dr. David Nelson Pfohl
Geriatric Medicine
45 Pebble Hill Dr
Belleville
, Illinois 62223-2249
(618) 604-6518
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About
Features
Specialties
- Geriatric Medicine
Languages spoken
- English
Location
First Address
- Dr. David Nelson Pfohl
- Po Box 8421
- Belleville, IL
- Zip : 62222-8421
- Phone : (618) 604-6518
Second Address
- Dr. David Nelson Pfohl
- 45 Pebble Hill Dr
- Belleville, IL
- Zip : 62223-2249
- Phone : (618) 604-6518
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RG0300X | Geriatric Medicine | 036115149 | IL |
National Provider Identifier
| NPI | 1093822116 |
|---|---|
| Provider Name | Dr. David Nelson Pfohl |
| First Address | Belleville, IL 62222-8421 |
| Second Address | Belleville, IL 62223-2249 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/08/2006 |
| Last Update Date | 08/09/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| F87952 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.