Individual
DR. PAMELA WILBANKS BUNTING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1011 BOWLES AVE STE G10, FENTON, MO 63026-2387
(636) 496-5453
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
2009007650
MO
2086X0206X
Surgical Oncology Physician
2009007650
MO
Other
Enumeration date
08/28/2008
Last updated
11/12/2020
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