Individual
ROBERT PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1050 W 10TH ST, ROLLA, MO 65401-2905
(573) 364-9000
(573) 426-2108
Mailing address
600 BLUES LAKE PKWY, ROLLA, MO 65401-8022
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
2001015853
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
146566
BLUE CROSS BLUE SHIELD OF
MO
05
—
305675506
—
MO
01
—
464117
HEALTHLINK
MO
01
—
P00063001
RAILROAD MEDICARE
MO
Enumeration date
07/25/2006
Last updated
09/11/2025
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