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Search › Missouri › 207N00000X

Jeffrey Petersen, MD

NPI 1275551707 · on the registry since 2006

Practice

Address
1011 Bowles Ave
Suite 121
Fenton, MO 63026
Phone
(314) 200-2713
Fax
(314) 200-2714
Organisation at this address
Ssm Medical Group
Loup Dialysis Llc
Ssm Medical Group
Ssm Medical Group Inc.
Faris Al-Gebory Md Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
67

Registry record

Primary taxonomy
207N00000X
207N00000X
Also registered as
207ND0101X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-25

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