NPI 1609506781

Isaac Elias Pacheco, CCP

Practitioner Perfusionist Sellersburg, IN

Practice location

Address: 959 S Indiana Ave, Sellersburg, IN 47172-1639
Phone: (877) 234-3266

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence FPF02000141 (TX)

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Registry record

NPI: 1609506781
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jun 2022
Record last updated: 13 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.