Provider Demographics
NPI:1548536089
Name:OBREGON, PEDRO JARA II (MD)
Entity type:Individual
Prefix:DR
First Name:PEDRO
Middle Name:JARA
Last Name:OBREGON
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:793 PRAIRIE RUN DR
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-8541
Mailing Address - Country:US
Mailing Address - Phone:740-965-8886
Mailing Address - Fax:740-965-8886
Practice Address - Street 1:793 PRAIRIE RUN DR
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:OH
Practice Address - Zip Code:43074-8541
Practice Address - Country:US
Practice Address - Phone:740-965-8886
Practice Address - Fax:740-965-8886
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
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Provider Licenses
StateLicense IDTaxonomies
OH35033141207Q00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine