Individual
SARAH PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13861 MANCHESTER RD, BALLWIN, MO 63011-4503
(314) 422-5568
Mailing address
1800 S BRENTWOOD BLVD APT 317, SAINT LOUIS, MO 63144-1838
(618) 973-9686
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/14/2018
Last updated
01/05/2019
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