Individual
DR. PAMELA LYNN RALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1502 N.JEFFERSON STREET, CCMH MEDICAL PLAZA, CARROLLTON, MO 64633
(660) 542-1695
(660) 542-9880
Mailing address
1502 N JEFFERSON ST, CCMH MEDICAL PLAZA ATTN: JEAN STEELE, CARROLLTON, MO 64633
(660) 542-1695
(660) 542-9880
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2008018043
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204313506
—
MO
Enumeration date
04/28/2009
Last updated
12/05/2024
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