Individual
DR. HOWARD A PETH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8326
Mailing address
54 HOSPITAL DR, OSAGE BEACH, MO 65065-3050
(573) 348-8000
(573) 348-8326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
27298
WI
207P00000X
Emergency Medicine Physician
R5F45
MO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MDR5F45
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202324208
—
MO
Enumeration date
10/04/2006
Last updated
05/16/2023
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