Individual
MARY PAMELA PFIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3333 BURNET AVE, MLC 2017, CINCINNATI, OH 45229-3026
(513) 636-4785
(513) 636-3928
Mailing address
3333 BURNET AVE, MLC 2017, CINCINNATI, OH 45229-3026
(513) 636-4785
(513) 636-3928
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.002760
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000658467
ANTHEM
OH
Enumeration date
02/26/2008
Last updated
07/08/2010
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