Individual
PETER NWANKWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
916 OLIVE ST, SAINT LOUIS, MO 63101-1400
(314) 436-9300
Mailing address
3655 BROOKVILLE DR APT 6, SAINT LOUIS, MO 63125-4619
(662) 374-1269
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
2023002881
MO
Other
Enumeration date
06/12/2023
Last updated
06/12/2023
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