Renuka E Peterson M.D.

NPI 1194823310 - Pediatrics - 2080P0202X

NPI Details
NPI 1194823310
Gender Female
Enumeration Date 09/20/2006
Last Updated 04/24/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
1465 S GRAND BLVD
SAINT LOUIS MO, 63104-1003, US
Phone (314) 268-4101
Fax (314) 577-5379
Business Location
1465 S GRAND BLVD
SAINT LOUIS MO, 63104-1003, US
Phone (314) 268-4101
Fax (314) 577-5379
Toxanomy
Taxonomy Code 2080P0202X
License State California
License Number A78953
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According to our database, Renuka E Peterson M.D. NPI is 1194823310, taxonomy code is 2080P0202X and license number is A78953, license state is located at California. Renuka E Peterson M.D. physically located at 1465 S Grand Blvd, Saint Louis MO, 63104-1003. NPI Number Renuka E Peterson M.D. has the Individual type.

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1194823310 NPI number is provided on an as is basis without warranty of any kind. 1194823310 is maintained by the National Plan & Provider Enumeration System. The contents of Renuka E Peterson M.D. are for informational purposes only.