Organization
SETH PASKON M.D.
Active
Other names
Potosi Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH C PASKON MD (OWNER)
(573) 438-4322
Entity
Organization
Contact information
Practice address
1 KWAN PLZ, POTOSI, MO 63664-1435
(573) 438-4322
(573) 438-5363
Mailing address
1 KWAN PLZ, POTOSI, MO 63664-1435
(573) 438-4322
(573) 438-5363
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MDR5003
MO
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
593788508
—
MO
Enumeration date
02/15/2008
Last updated
06/25/2008
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