# PEARLETHA WASHINGTON, MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750590295
- **Authorized official:** DR. PEARLETHA ROZENIA WASHINGTON MD (OWNER)
- **Authorized official phone:** (636) 357-7667

## Contact information

- **Practice address:** 148 E PEARCE BLVD, WENTZVILLE, MO 63385-1511
- **Practice address phone:** (866) 704-9765
- **Practice address fax:** (636) 327-0058
- **Mailing address:** 148 E PEARCE BLVD, WENTZVILLE, MO 63385-1511
- **Mailing address phone:** (866) 704-9765
- **Mailing address fax:** (636) 327-0058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD 108476 | MO | Yes |

## Other

- **Enumeration date:** 05/22/2007
- **Last updated:** 08/22/2020