Dr. Pamela Wilbanks Bunting
Surgeon Surgical Oncologist
1011 Bowles Ave Ste G10
Fenton
, Missouri 63026-2387
Dr. Pamela Wilbanks Bunting
Surgeon Surgical Oncologist
1011 Bowles Ave Ste G10
Fenton
, Missouri 63026-2387
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About
Features
Specialties
- Surgeon
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Dr. Pamela Wilbanks Bunting
- Po Box 955534
- Saint Louis, MO
- Zip : 63195-5534
- Phone :
Second Address
- Dr. Pamela Wilbanks Bunting
- 1011 Bowles Ave Ste G10
- Fenton, MO
- Zip : 63026-2387
- Phone : (636) 496-5453
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 208200000X | Surgeon | 2009007650 | MO |
| Y | 208600000X | Surgeon | 2009007650 | MO |
| N | 2086X0206X | Surgical Oncologist | 2009007650 | MO |
National Provider Identifier
| NPI | 1407004872 |
|---|---|
| Provider Name | Dr. Pamela Wilbanks Bunting |
| First Address | Saint Louis, MO 63195-5534 |
| Second Address | Fenton, MO 63026-2387 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/08/2008 |
| Last Update Date | 12/11/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.