John Joseph Peters, DO
Student in an Organized Health Care Education/Training Program in Saint Louis, MO. Individual provider (NPI-1).
NPI number1982306627
StatusActive
Last updated in NPPESApr 7, 2023
Details
- NPI
- 1982306627
- Entity type
- Individual (NPI-1)
- Name
- John Joseph Peters
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 20, 2023
- Certification date
- Apr 7, 2023
- Last updated
- Apr 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1201 S Grand BlvdSaint Louis, MO 63104-1016
Phone 314-257-8000 · Fax 314-977-1664
Mailing address
1008 S Spring AveSaint Louis, MO 63110-2520
Phone 314-977-2605 · Fax 314-977-1664
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