Individual
MORGAN PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6702 GODFREY RD, GODFREY, IL 62035-2205
(618) 467-1520
Mailing address
2853 YAEGER RD, SAINT LOUIS, MO 63129-3125
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006231
IL
Other
Enumeration date
10/09/2017
Last updated
02/18/2020
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