Individual
DR. MARY K PENDERGRASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
181 N KENTUCKY AVE STE 100, WEST PLAINS, MO 65775-2092
(417) 257-5911
Mailing address
181 N KENTUCKY AVE STE 100, WEST PLAINS, MO 65775-2092
(417) 257-5911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014030982
MO
Other
Enumeration date
07/11/2012
Last updated
07/21/2022
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