James H Petersen, M.D.
NPI #1831169275 in Lake St Louis, Missouri
Provider Information
- NPI Number
- 1831169275
- Entity Type
- Individual
- Name
- James H Petersen, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Internal Medicine - Gastroenterology
- Credential
- M.D.
- Enumeration Date
- Jan 26, 2006
- Last Updated
- Jul 18, 2014
Practice Location
- Address
- 200 BREVCO PLZ
- Address 2
- SUITE 208
- City
- Lake St Louis
- State
- Missouri
- ZIP Code
- 63367-2949
- Phone
- (636) 561-9020
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Gastroenterology — Gastroenterology |
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