Individual
DR. PETER JACOB MOHR
Active
Individual
DR. PETER JACOB MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2006002767
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208178
MO-BLUE SHIELD
—
Enumeration date
07/25/2006
Last updated
12/15/2021
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