Individual
JOHN R. PEARSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
691 E EMPIRE ST, CORTEZ, CO 81321-2802
(970) 335-2232
Mailing address
185 SUTTLE ST, DURANGO, CO 81303-8276
(970) 335-2236
(970) 247-1337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0058993
CO
208000000X
Pediatrics Physician
15739
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327950099
—
ME
Enumeration date
06/15/2006
Last updated
03/17/2018
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