Individual
JOHN E FRATTINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
232 S. WOODSMILL ROAD, CHESTERFIELD, MO 63017-3417
(314) 434-1500
(314) 542-4891
Mailing address
12919 TUNDRA CT., ST. LOUIS, MO 63131-1319
(314) 504-0827
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R6H05
MO
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
R6H05
MO
207RP1001X
Pulmonary Disease Physician
R6H05
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203291737
—
MO
01
—
P00351212
RR MEDICARE
MO
Enumeration date
02/17/2006
Last updated
05/19/2022
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