Individual
RICHARD W PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(765) 747-4343
(765) 741-2905
Mailing address
2401 W UNIVERSITY AVE, MUNCIE, IN 47303-3428
(800) 248-1199
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
01029530A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01029530A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006496
MPLAN
IN
01
—
000000083420
BLUE CROSS BLUE SHEILD
IN
01
—
020434700
BLACK LUNG
—
05
—
100332920
—
IN
05
—
2099554
—
OH
01
—
6470
PHYSICIANS HEALTH PLAN
IN
Enumeration date
10/06/2006
Last updated
02/24/2016
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