Mauricio Jose Pasquale, PA-C Valid NPI
Individual provider · Physician Assistant · Eldon, MO
- NPI
- 1609170018
- Type
- Individual (Type 1)
- Primary specialty
- Physician Assistant
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363A00000X
- License number
- 2018004251 (MO)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2010-12-28
- Last updated
- 2023-04-07
Practice location
304a E 4th St
Eldon, MO 65026-1808
(573) 557-2400