Individual
DR. MARK L. PFAUTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Mailing address
70 DOCTORS PARK, CAPE GIRARDEAU, MO 63703-4928
(573) 334-6071
(573) 334-4739
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
R8A13
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036-077507
IL BLUE CROSS BLUE SHIELD
IL
01
—
063896
HEALTH ALLIANCE
—
05
—
143794001
—
AR
01
—
185214
185214
MO
01
—
187175
HEALTHLINK
—
05
—
242662005
—
MO
01
—
430954380CAP
MERCY HEALTH PLAN
—
Enumeration date
08/01/2006
Last updated
04/29/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us