Individual provider · Type 1 NPI

Collins Pivadga

Other Specialist/Technologist · Travis Afb, CA

NPI number 1346077054 Active

Practice location

101 Bodin Cir Bldg 777
Travis Afb, CA 94535-1809

Mailing address

2780 N Texas St Apt 257
Fairfield, CA 94533-7307

Specialties and licenses

TaxonomyCodeLicense
Other Specialist/Technologist Primary 246Z00000XNone listed

Other Specialist/Technologist: General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.

27 other providers at this address

Other other specialist/technologist providers in Travis Afb

See all in Travis Afb →

About NPI 1346077054

Collins Pivadga's National Provider Identifier is 1346077054, issued on Sep 17, 2024. The primary taxonomy on file is Other Specialist/Technologist (246Z00000X), and the practice location is in Travis Afb, CA. The record was last updated on Sep 17, 2024.