Pamela Michelle Macon in Maryland Heights - Pediatrics

Pamela Michelle Macon - NPI 1467597153

Pamela Michelle Macon is a Pediatrics in Maryland Heights, Missouri. Pamela Michelle Macon practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pamela Michelle Macon is 1467597153. The last update date is 2007-07-08.

Pamela Michelle Macon's current location address is 11365 Dorsett Rd, Maryland Heights, Missouri. You can contact this provider via phone number 3148726440. The mailing address for Pamela Michelle Macon is 11365 Dorsett Rd, Maryland Heights, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Pamela Michelle Macon
Address 11365 Dorsett Rd, Maryland Heights, Missouri
Phone Number 3148726440
Fax Number
Sole Proprietor Y
Credentials MPT

NPI Number Detail

NPI Number 1467597153
Provider Enumeration Date 2007-02-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11365 Dorsett Rd
City Maryland Heights
State Missouri (MO)
Post Code 630433411
Phone Number 3148726440
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 2251P0200X
Licence No 112634
Definition:
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development,

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FAQs about Pamela Michelle Macon

What is the unique 10-digit identifier code assigned to Pamela Michelle Macon by the Centers for Medicare & Medicaid Services?

The Pamela Michelle Macon has been issued the NPI (National Provider Identifier) 1467597153 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Pamela Michelle Macon is located?

The Pamela Michelle Macon is situated at the following address: 11365 Dorsett Rd, Maryland Heights, MO, 630433411.

What is Pamela Michelle Macon's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Pamela Michelle Macon is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 2251P0200X.

On what date did the Pamela Michelle Macon receive the assignment of its 1467597153 from the Centers for Medicare & Medicaid Services?

The Pamela Michelle Macon was issued its 1467597153 by the Centers for Medicare & Medicaid Services on 2007-02-20.

As of what date were the details related to Pamela Michelle Macon most recently updated or revised?

The information pertaining to Pamela Michelle Macon, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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