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Individual

MARK PAJEAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1060 W 10TH ST, ROLLA, MO 65401
(855) 406-3324
(573) 458-8363
Mailing address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
01074780A
IN
207RH0003X
Hematology & Oncology Physician
Primary
2025015742
MO
207RH0003X
Hematology & Oncology Physician
35.097129
OH
207RH0003X
Hematology & Oncology Physician
MD447328
PA
2084P0800X
Psychiatry Physician
2025015742
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000914291
ANTHEM
IN
05
1027698370001
PA
05
201270220
IN
Enumeration date
05/10/2007
Last updated
07/03/2025
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