SearchMissouri103TF0000X

James Pettinelli

NPI 1538311865 · on the registry since 2008 · sole proprietor

Practice

Address
4500 W Pine Blvd
Saint Louis, MO 63108
Phone
(314) 361-5983
Fax
(314) 977-2614

Registry record

Primary taxonomy
103TF0000X
103TF0000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-17

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