Individual
DR. FULEI PENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8221
(314) 509-5305
Mailing address
621 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8232
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2021020589
MO
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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