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Kristopher Pullam, MD
NPI 1679067276 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1203 Smizer Mill Rd Ste 105
Fenton, MO 63026 - Phone
- (636) 717-1350
- Organisation at this address
- Mercy Health Services, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 15
Additional practice sites
- 621 S New Ballas Rd, Saint Louis, MO
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri