| Susan E. Pearson, Llc | |
|
6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 | |
| (636) 244-4500 | |
| (636) 244-4505 |
| Full Name | Susan E. Pearson, Llc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 6209 Midrivers Mall Dr, St Charles, Missouri |
| Authorized Official Name and Position | Susan E Pearson (OWNER) |
| Authorized Official Contact | 6362444500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan E. Pearson, Llc 6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 Ph: (636) 244-4500 | Susan E. Pearson, Llc 6209 Midrivers Mall Dr #317 St Charles MO 63304-1102 Ph: (636) 244-4500 |
| NPI Number | 1487853750 |
|---|---|
| Provider Enumeration Date | 07/16/2007 |
| Last Update Date | 07/16/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487853750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | DO101125 (Missouri) | Primary |