Most Relevant Information
Provider Data
| NPI Number: | 1003059734 |
| Provider Name: | EDWARD J PAVLOSKY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | RN324901L |
Most Important Dates
| Enumeration Date: | 04/10/2009 |
| Last Updated: | 04/10/2009 |
Provider Practice Location
620 HOWARD AVE
ALTOONA
PA
166014804
Practice Location Phone/Fax
| Phone: | 8149435901 |
| Fax: | 8149433429 |
Provider Mailing Location
1701 12TH AVE
SUITE G2
ALTOONA
PA
166013100
Provider Mailing Phone/Fax
| Phone: | 8149435901 |
| Fax: | 8149433429 |