Individual provider · NPI-1

Dr. Peter B. Amminger, MD

Radiology, Diagnostic Radiology · Memphis, TN

NPI number1932102142

StatusActive

Last updated in NPPESMay 2, 2023

Details

NPI: 1932102142
Entity type: Individual (NPI-1)
Name: Dr. Peter B. Amminger
Credential: MD
Sex: Male
Sole proprietor: Yes
Enumeration date: May 23, 2005
Certification date: May 2, 2023
Last updated: May 2, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2085R0202X	Radiology, Diagnostic Radiology	38052	TN	Yes
208D00000X	General Practice	38052	TN

Practice location

St. Jude Children'S Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794

Phone 901-495-3006 · Fax 901-495-3842

Mailing address

St. Jude Children'S Research Hospital
332 N Lauderdale St., Ms 0515
Memphis, TN 38105-2794

Phone 901-495-3006 · Fax 901-495-3842

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