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Search › Missouri › 207RG0100X

James Petersen, M.D

NPI 1831169275 · on the registry since 2006

Practice

Address
200 Brevco Plz
Suite 208
Lake St Louis, MO 63367
Phone
(636) 561-9020
Organisation at this address
Dva Healthcare Renal Care Inc
Digestive Disease Medical Consultants, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207RG0100X
207RG0100X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-18

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