Individual
DR. JOHN R DOUGLAS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 PATIENTS FIRST DR STE 3300, WASHINGTON, MO 63090-4700
(636) 239-7344
Mailing address
901 PATIENTS FIRST DR STE 3300, WASHINGTON, MO 63090-4700
(636) 239-7344
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
2016004841
MO
207RG0100X
Gastroenterology Physician
35499
SC
Other
Enumeration date
05/17/2007
Last updated
01/14/2020
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