Individual
SEAN C PFEFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3130 WISCONSIN AVE STE 6, JOPLIN, MO 64804-2800
(417) 206-9300
(417) 206-9306
Mailing address
PO BOX 2009, JOPLIN, MO 64803-2009
(417) 206-9300
(417) 206-9306
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2003026619
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
183165
ANTHEM
MO
05
—
209223304
—
MO
01
—
P00059304
RR MEDICARE
—
Enumeration date
06/22/2006
Last updated
09/30/2022
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