Provider Demographics
NPI:1093978017
Name:MUNSON, RITA PAZRAL (DO)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:PAZRAL
Last Name:MUNSON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:DR
Other - First Name:RITA
Other - Middle Name:PAZRAL
Other - Last Name:SWANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:REILLY RD BLDG 4-2817
Mailing Address - Street 2:
Mailing Address - City:FORT BRAGG
Mailing Address - State:NC
Mailing Address - Zip Code:28310-0001
Mailing Address - Country:US
Mailing Address - Phone:910-907-6451
Mailing Address - Fax:910-907-8630
Practice Address - Street 1:REILLY RD BLDG 4-2817
Practice Address - Street 2:
Practice Address - City:FORT BRAGG
Practice Address - State:NC
Practice Address - Zip Code:28310-0001
Practice Address - Country:US
Practice Address - Phone:910-907-6451
Practice Address - Fax:910-907-8630
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-09
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102202595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC390200000XOtherMILITARY RESIDENCY