Garry D Pearson in Jefferson City - Family Medicine
Garry D Pearson - NPI 1629011812
Garry D Pearson is a Family Medicine in Jefferson City, Missouri. Garry D Pearson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Garry D Pearson is 1629011812. The last update date is 2012-08-06.
Garry D Pearson's current location address is 2511 W Edgewood Dr, Jefferson City, Missouri. You can contact this provider via phone number 5737612130 and fax number 5737616957. The mailing address for Garry D Pearson is 2511 W Edgewood Dr, Jefferson City, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Garry D Pearson |
|---|---|
| Address | 2511 W Edgewood Dr, Jefferson City, Missouri |
| Phone Number | 5737612130 |
| Fax Number | 5737616957 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1629011812 |
|---|---|
| Provider Enumeration Date | 2006-06-14 |
| Last Updated Date | 2012-08-06 |
Provider Mailing Address Detail
| Address | 2511 W Edgewood Dr |
|---|---|
| City | Jefferson City |
| State | Missouri (MO) |
| Post Code | 651095869 |
| Phone Number | 5737612130 |
| Fax Number | 5737616957 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 105089 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 246900401 | MO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Garry D Pearson by the Centers for Medicare & Medicaid Services?
The Garry D Pearson has been issued the NPI (National Provider Identifier) 1629011812 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Garry D Pearson?
The Garry D Pearson is physically situated at 2511 W Edgewood Dr, in the city of Jefferson City, state of MO, with the postal code 651095869.
What is Garry D Pearson's area of expertise and its corresponding taxonomy classification?
The Garry D Pearson's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629011812 to Garry D Pearson?
The Centers for Medicare & Medicaid Services originally issued the 1629011812 to Garry D Pearson on 2006-06-14.
As of what date were the details related to Garry D Pearson most recently updated or revised?
The information pertaining to Garry D Pearson, including its address, specialty, and other relevant details, was last updated or revised on 2012-08-06.