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Individual
ANTHONY C PEARSON
Active
Individual
ANTHONY C PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2007018944
MO
207RC0000X
Cardiovascular Disease Physician
32521
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076256
ANTHEM PIN
KY
01
—
060036505
RAILROAD MEDICARE NUMBER
KY
01
—
1056152
PASSPORT PIN
KY
05
—
200109350A
—
IN
01
—
2433844000
PASSPORT ADVANTAGE PIN
KY
05
—
64325210
—
KY
Enumeration date
06/11/2006
Last updated
12/14/2017
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