Organization
SUSAN E. PEARSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E PEARSON DO (OWNER)
(636) 244-4500
Entity
Organization
Contact information
Practice address
6209 MIDRIVERS MALL DR, #317, ST CHARLES, MO 63304-1102
(636) 244-4500
(636) 244-4505
Mailing address
6209 MIDRIVERS MALL DR, #317, ST CHARLES, MO 63304-1102
(636) 244-4500
(636) 244-4505
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
DO101125
MO
Other
Enumeration date
07/16/2007
Last updated
07/16/2007
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