Peyton Robertson, DO
Student in an Organized Health Care Education/Training Program in Saint Louis, MO. Individual provider (NPI-1).
NPI number1689376972
StatusActive
Last updated in NPPESMar 20, 2023
Details
- NPI
- 1689376972
- Entity type
- Individual (NPI-1)
- Name
- Peyton Robertson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Mar 20, 2023
- Last updated
- Mar 20, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1438 S Grand BlvdSaint Louis, MO 63104-1027
Phone 314-977-4850 · Fax 314-977-4876
Mailing address
1438 S Grand BlvdSaint Louis, MO 63104-1027
Phone 314-977-4850 · Fax 314-977-4876
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