Individual
DR. JENNIFER ANN PANASCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5551 WINGHAVEN BLVD, SUITE 240, O FALLON, MO 63368-3617
(636) 561-5561
(636) 561-5557
Mailing address
5551 WINGHAVEN BLVD, SUITE 240, O FALLON, MO 63368-3617
(636) 561-5561
(636) 561-5557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
110462
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02067536
—
NY
Enumeration date
05/22/2006
Last updated
12/31/2008
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