Carl Peters MD

NPI 1053403915 - Family Medicine - 207Q00000X

NPI Details
NPI 1053403915
Gender Male
Enumeration Date 09/29/2006
Last Updated 09/09/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
12348 OLD TESSON RD
SUITE 180
SAINT LOUIS MO, 63128-2251, US
Phone (314) 467-2014
Fax (314) 467-2170
Business Location
12348 OLD TESSON RD
SUITE 180
SAINT LOUIS MO, 63128-2251, US
Phone (314) 467-2014
Fax (314) 467-2170
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036099983
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According to our database, Carl Peters MD NPI is 1053403915, taxonomy code is 207Q00000X and license number is 036099983, license state is located at Illinois. Carl Peters MD physically located at 12348 Old Tesson Rd, Saint Louis MO, 63128-2251. NPI Number Carl Peters MD has the Individual type.

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1053403915 NPI number is provided on an as is basis without warranty of any kind. 1053403915 is maintained by the National Plan & Provider Enumeration System. The contents of Carl Peters MD are for informational purposes only.