Individual
DR. PETER G DANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12680 OLIVE BLVD, SUITE 300, CREVE COEUR, MO 63141-6322
(314) 251-8889
Mailing address
12680 OLIVE BLVD, SUITE 300, CREVE COEUR, MO 63141-6322
(314) 251-8889
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
R4C19
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080192174
RAILROAD MEDICARE
MO
05
—
1669447314
—
MO
Enumeration date
02/17/2006
Last updated
09/18/2014
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