Individual
NATALIE J PEARCE-WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1229 E SEMINOLE ST, SUITE 220, SPRINGFIELD, MO 65804-2227
(417) 820-5150
(417) 820-5155
Mailing address
PO BOX 505164, SAINT LOUIS, MO 63150-5164
(417) 829-4620
(417) 829-4316
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
P-T1223
AR
207RC0000X
Cardiovascular Disease Physician
PA-482
AR
363A00000X
Physician Assistant
Primary
2013041113
MO
Other
Enumeration date
07/31/2012
Last updated
08/12/2015
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