Individual
PETER P JIANG
Active
Individual
PETER P JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2005023732
MO
207RI0200X
Infectious Disease Physician
Primary
2005023732
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199929
BLUE SHIELD/BLUE CHOICE
MO
05
—
200307908
—
MO
01
—
718095
HEALTHLINK
MO
Enumeration date
05/08/2006
Last updated
12/03/2013
Update your record
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