Individual
MITCHELL SCOTT PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 HIGHWAY 61 SOUTH, CRYSTAL CITY, MO 63019
(636) 933-1680
Mailing address
211 N KANSAS ST, EDWARDSVILLE, IL 62025-1733
(618) 578-7575
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2021041790
MO
Other
Enumeration date
12/03/2021
Last updated
12/03/2021
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