Individual
DR. CATHERINE JANE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
233 CLARKSON RD, ELLISVILLE, MO 63011-2219
(636) 256-8644
Mailing address
510 BLAZEDWOOD DR, BALLWIN, MO 63021-6311
(636) 227-9801
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
110701
MO
Other
Enumeration date
08/25/2006
Last updated
10/17/2007
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