George Pelican is a Specialist in Des Peres, Missouri. George Pelican practices all healthcare services and medical treatments related to Specialist. The NPI Number for George Pelican is 1912919523. The last update date is 2007-07-08.
George Pelican's current location address is Po Box 31367, Des Peres, Missouri. You can contact this provider via phone number 3148450766 and fax number 3148450766. The mailing address for George Pelican is Po Box 31367, Des Peres, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | George Pelican |
|---|---|
| Address | Po Box 31367, Des Peres, Missouri |
| Phone Number | 3148450766 |
| Fax Number | 3148450766 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912919523 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 31367 |
|---|---|
| City | Des Peres |
| State | Missouri (MO) |
| Post Code | 631310367 |
| Phone Number | 3148450766 |
| Fax Number | 3148450766 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 33873 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PE200214906 | MO | -- |
Post Comment/ Review Below
What is the unique identifier code issued to George Pelican by the Centers for Medicare & Medicaid Services (CMS)?
The George Pelican has been assigned the NPI (National Provider Identifier) 1912919523. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the George Pelican's physical address?
The George Pelican is physically located at Po Box 31367, in the city of Des Peres, MO, with the postal code 631310367.
What is George Pelican's area of expertise and its corresponding taxonomy classification?
The George Pelican's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1912919523 assigned to George Pelican?
The George Pelican was issued its 1912919523 on 2006-08-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to George Pelican most recently updated or revised?
The information pertaining to George Pelican, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
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