Individual
DR. THOMAS C PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1256 S POST OAK CT, SPRINGFIELD, MO 65809-1624
(000) 000-0000
Mailing address
1256 S POST OAK CT, SPRINGFIELD, MO 65809-1624
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
R6N04
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202880506
—
MO
01
—
R6N04
STATE LICENSE
MS
Enumeration date
08/11/2005
Last updated
03/14/2023
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