Individual
DR. PETER I ANGELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2345 DOUGHERTY FERRY RD, SAINT LOUIS, MO 63122-3313
(314) 655-4486
(314) 485-1154
Mailing address
PO BOX 411582, SAINT LOUIS, MO 63141-3582
(314) 583-9968
(314) 485-1154
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2003010400
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208829200
—
MO
Enumeration date
09/13/2006
Last updated
05/29/2024
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