Individual
PAUL EDWARD PANCOAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ME
Contact information
Practice address
4401 S VINEYARD WAY, COLUMBIA, MO 65203-9505
(214) 799-6073
Mailing address
4401 S VINEYARD WAY, COLUMBIA, MO 65203-9505
(214) 799-6073
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35048028
OH
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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