Organization
PETER J ANDERSON, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER J ANDERSON MD (OWNER)
(314) 768-3216
Entity
Organization
Contact information
Practice address
1011 BOWLES AVE, SUITE 400, FENTON, MO 63026-2387
(314) 821-4884
(314) 821-4885
Mailing address
PO BOX 1521, MINNEAPOLIS, MN 55480-1521
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
2004016388
MO
Other
Enumeration date
01/27/2006
Last updated
08/06/2009
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