Organization
TATYANA PETROSOVA, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA PETROSOVA M.D. (OWNER)
(147) 977-0743
Entity
Organization
Contact information
Practice address
10420 OLD OLIVE STREET RD STE 305, SAINT LOUIS, MO 63141-5914
(314) 797-7074
(314) 227-5505
Mailing address
PO BOX 653, CHESTERFIELD, MO 63006-0653
(314) 797-7074
(314) 227-5505
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504381203
—
MO
Enumeration date
03/06/2009
Last updated
02/17/2026
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