Individual
MR. THOMAS JAMES PEPPER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2521 BANISTER DR, SAINT LOUIS, MO 63125-3115
(314) 750-7202
Mailing address
2521 BANISTER DR, SAINT LOUIS, MO 63125-3115
(314) 750-7202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2010034040
MO
Other
Enumeration date
12/29/2010
Last updated
12/29/2010
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