Individual
ROD EVAN PELLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11365 DORSETT RD., MARYLAND HEIGHTS, MO 63043
(314) 872-6400
Mailing address
11365 DORSETT ROAD, MARYLAND HEIGHTS, MO 63043
(314) 872-6400
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
2017013705
MO
Other
Enumeration date
06/11/2010
Last updated
07/24/2018
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