Individual
ANTHONY C PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 S WOODS MILL RD, STE 500 N, CHESTERFIELD, MO 63017-3625
(314) 205-6699
(314) 590-5923
Mailing address
222 S WOODS MILL RD, STE 500 N, CHESTERFIELD, MO 63017-3625
(314) 205-6699
(314) 205-6085
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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