Individual
DR. THOMAS J PANASCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 DES PERES RD, SUITE 310, DES PERES, MO 63131-2050
(314) 821-1313
(314) 821-5670
Mailing address
1000 DES PERES RD, SUITE 310, DES PERES, MO 63131-2050
(314) 821-1313
(314) 821-5670
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
110858
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110858
STATE LICENSE
MO
01
—
331335280
MEDICARE PROVIDER NUMBER
MO
Enumeration date
11/21/2005
Last updated
01/21/2015
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