IndividualActive
Mauricio Pasquale, PA-C
NPI 1609170018 · Physician Assistant · Eldon, MO
Provider details
- NPI number
- 1609170018
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2018004251 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
304a E 4th St
Eldon, MO 65026-1808
Phone: (573) 557-2400
Fax: (573) 557-2401
Approximate (ZIP-level) locationGet directions
Mailing address
54 Hospital Dr
Osage Beach, MO 65065-3050
Registry dates
- Enumerated
- 2010-12-28
- Last updated
- 2023-04-07
- Certified
- 2023-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.