Organization
FREDERICK J PEET DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK J PEET JR. D.P.M. (DOCTOR)
(636) 239-0202
Entity
Organization
Contact information
Practice address
1201 JEFFERSON ST, SUITE 120, WASHINGTON, MO 63090-4454
(636) 239-0202
(636) 239-0217
Mailing address
1201 JEFFERSON ST, SUITE 120, WASHINGTON, MO 63090-4451
(636) 239-0202
(636) 239-0217
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
000548
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107216
HEALTHLINK
MO
01
—
18509
HEALTHCARE USA
MO
01
—
2700040
UNITED HEALTHCARE
MO
05
—
302302401
—
MO
01
—
4670200
AETNA
MO
01
—
480023932
RAILROAD MEDICARE
MO
01
—
9774
BCBS OF MISSOURI
MO
Enumeration date
03/16/2007
Last updated
12/31/2014
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