Individual
PAULINE E. BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5525
(573) 632-5811
Mailing address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5525
(573) 632-5811
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2007007760
MO
Other
Enumeration date
04/25/2007
Last updated
02/10/2016
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