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NPI Code Detail

MEDICARE: DR. WILLIAM EDWARD PEARSON M.D.

MEDICARE: DR. WILLIAM EDWARD PEARSON M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician31792MO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073513222
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. WILLIAM EDWARD PEARSON M.D.
Provider Business Mailing Address
First Line : 12166 OLD BIG BEND RD
Second Line : STE 306
City : KIRKWOOD
State : MO
Zip : 63122-6844
Country : US
Telephone Number : 314-984-9977
Fax Number : 314-984-0441
Provider Business Practice Location Address
First Line : 12166 OLD BIG BEND RD
Second Line : STE 306
City : KIRKWOOD
State : MO
Zip : 63122-6844
Country : US
Telephone Number : 314-984-9977
Fax Number : 314-984-0441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 01/03/2011

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