Individual
DR. JOHN S. PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-8309
Mailing address
1 SOUTHTOWNE DR, POTOSI, MO 63664-5729
(573) 438-8309
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R6P01
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243178423
—
MO
Enumeration date
01/29/2007
Last updated
11/05/2012
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