Individual
DR. DAVID JOEL PERNIKOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-1600
(314) 355-5716
Mailing address
2865 NETHERTON DR, SAINT LOUIS, MO 63136-4674
(314) 653-1600
(314) 355-5716
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36099
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201878303
—
MO
Enumeration date
09/01/2005
Last updated
05/02/2011
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