Search › Missouri › 363A00000X
Todd Petersen, PA-C
NPI 1740270537 · on the registry since 2005
Practice
- Address
- 6854 Parker Rd
Florissant, MO 63033 - Phone
- (314) 286-6988
- Fax
- (314) 868-2561
- Organisation at this address
- St. Louis Jc Vamc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-15
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