Individual
JAMES L PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1125 MADISON ST, JEFFERSON CITY, MO 65101-5227
(573) 632-5000
(573) 634-2033
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2018011272
MO
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2018011272
MO
208M00000X
Hospitalist Physician
Primary
2018011272
MO
Other
Enumeration date
06/26/2014
Last updated
01/23/2024
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