James A Petterchak MD

NPI 1598832032 - Pathology - 207ZP0101X

NPI Details
NPI 1598832032
Gender Male
Enumeration Date 11/29/2006
Last Updated 10/01/2008
Entity Type Individual
Active Over 12 years ago
Practice Location
3015 N. BALLAS
DEPT OF PATHOLOGY
ST. LOUIS MO, 63131, US
Phone (314) 996-5551
Fax (314) 996-5551
Business Location
3015 N. BALLAS
DEPT OF PATHOLOGY
ST. LOUIS MO, 63131, US
Phone (314) 996-5551
Fax (314) 996-5551
Toxanomy
Taxonomy Code 207ZP0101X
License State Illinois
License Number 036-101883
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According to our database, James A Petterchak MD NPI is 1598832032, taxonomy code is 207ZP0101X and license number is 036-101883, license state is located at Illinois. James A Petterchak MD physically located at 3015 N. Ballas, St. Louis MO, 63131. NPI Number James A Petterchak MD has the Individual type.

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1598832032 NPI number is provided on an as is basis without warranty of any kind. 1598832032 is maintained by the National Plan & Provider Enumeration System. The contents of James A Petterchak MD are for informational purposes only.