Individual
DR. JEROME PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-5781
(314) 877-6106
Mailing address
5300 ARSENAL ST, SAINT LOUIS, MO 63139-1463
(314) 877-5781
(314) 877-6106
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R7A46
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241518240
—
MO
Enumeration date
01/09/2007
Last updated
06/09/2008
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