Individual
PETER W. WARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10010 KENNERLY RD, SAINT LOUIS, MO 63128-2106
(314) 525-1328
Mailing address
10504 CONWAY RD, SAINT LOUIS, MO 63131-2814
(417) 529-1605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2002007117
MO
208M00000X
Hospitalist Physician
Primary
2002007117
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245828801
—
MO
Enumeration date
06/09/2006
Last updated
06/26/2024
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