Individual
DR. MARK S PELIKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
637 DUNN RD STE 170, HAZELWOOD, MO 63042-1759
(314) 838-5702
(314) 839-5596
Mailing address
PO BOX 23340, SAINT LOUIS, MO 63156-3340
(314) 838-5702
(314) 839-5596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2001009342
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00090948
RAILROAD MEDICARE
MO
Enumeration date
02/14/2006
Last updated
02/08/2019
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