Individual
PAMELA JEAN MCCOOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Mailing address
1602 N 2ND ST, CLINTON, MO 64735-1192
(660) 885-8171
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4534
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7870000
GROUP MEDICARE NUMBER 7870000. INDIVIDUAL NUMBER IS PENDING
MO
01
—
7870000026
PTAN
MO
Enumeration date
10/18/2007
Last updated
12/08/2011
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