NPI 1811248859
Mark Ainsworth Pabarue
Practice location
- Address
- 3812 Kentucky Derby Dr, Florissant, MO 63034-3322
- Phone
- (314) 659-6342
Registered specialties
Contractor
Primary
Registry record
- NPI
- 1811248859
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Oct 2012
- Record last updated
- 1 Oct 2012
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.