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Individual

DR. PETER JOSEPH DIPASCO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
10050 KENNERLY RD STE 2500, SAINT LOUIS, MO 63128-2195
(314) 525-4440
(314) 525-4531
Mailing address
10050 KENNERLY RD STE 2500, SAINT LOUIS, MO 63128-2195
(314) 525-4440
(314) 525-4531

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
04-34718
KS
2086X0206X
Surgical Oncology Physician
Primary
2020036303
MO
2086X0206X
Surgical Oncology Physician
ME 111387
FL

Other

Enumeration date
03/29/2007
Last updated
11/26/2024
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