Individual
DR. PETER SCOTT EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, RICHMOND HEIGHTS, MO 63117-1811
(314) 317-0600
(314) 317-0606
Mailing address
12101 WOODCREST EXECUTIVE DR, SUITE 210, SAINT LOUIS, MO 63141-5047
(314) 317-0600
(314) 317-0606
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2013032975
MO
207R00000X
Internal Medicine Physician
48963
TN
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
2013032975
MO
208M00000X
Hospitalist Physician
2013032975
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023045655
—
NC
05
—
1023045655
—
VA
05
—
1530416
—
TN
05
—
7100238660
—
KY
Enumeration date
06/27/2006
Last updated
11/11/2014
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