Individual
SUSAN O PINTADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 208-3593
Mailing address
100 MERCY WAY, JOPLIN, MO 64804-4524
(417) 781-2727
(417) 208-3593
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MDR9N17
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220017548
TRAVELERS
—
05
—
700432206
—
MO
Enumeration date
12/06/2005
Last updated
04/21/2015
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