Individual
LARRY PASKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12303 DE PAUL DR, DEPAUL HEALTH CENTER, BRIDGETON, MO 63044-2512
(314) 344-6350
Mailing address
502 EARTH CITY PLZ, SUITE 121, EARTH CITY, MO 63045-1340
(314) 770-2133
(314) 770-2154
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R6344
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201778800
—
MO
Enumeration date
06/06/2006
Last updated
08/30/2010
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