Susan E. Pearson, Llc | |
6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 | |
(636) 244-4500 | |
(636) 244-4505 |
Full Name | Susan E. Pearson, Llc |
---|---|
Speciality | Family Medicine - Geriatric Medicine |
Location | 6209 Midrivers Mall Dr, St Charles, Missouri |
Authorized Official Name and Position | Susan E Pearson (OWNER) |
Authorized Official Contact | 6362444500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Susan E. Pearson, Llc 6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 Ph: (636) 244-4500 | Susan E. Pearson, Llc 6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 Ph: (636) 244-4500 |
NPI Number | 1487853750 |
---|---|
Provider Enumeration Date | 07/16/2007 |
Last Update Date | 07/16/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487853750 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | DO101125 (Missouri) | Primary |