Individual
MRS. COURTNEY LEIGH PETROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
7472 ARLINGTON DR, SAINT LOUIS, MO 63117-2220
(314) 401-5257
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2012008949
MO
Other
Enumeration date
06/05/2014
Last updated
06/05/2014
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