Individual
DR. PETER B. AMMINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
ST. JUDE CHILDREN'S RESEARCH HOSPITAL, 332 N LAUDERDALE ST., MS 0515, MEMPHIS, TN 38105-2794
(901) 495-3006
(901) 495-3842
Mailing address
ST. JUDE CHILDREN'S RESEARCH HOSPITAL, 332 N LAUDERDALE ST., MS 0515, MEMPHIS, TN 38105-2794
(901) 495-3006
(901) 495-3842
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
38052
TN
208D00000X
General Practice Physician
38052
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009947665
—
AL
05
—
02575175-03
—
NY
05
—
04179761
—
MS
05
—
104677876
—
MI
05
—
1471747
—
LA
05
—
155224001
—
AR
05
—
172233201
—
TX
05
—
200076000A
—
OK
05
—
200509280A
—
IN
05
—
209028901
—
MO
05
—
216086200
—
MN
05
—
2495438
—
OH
05
—
422400000
—
ME
05
—
5440422
—
TN
05
—
64093560
—
KY
05
—
7614122
—
NC
05
—
Q38052
—
SC
Enumeration date
05/23/2005
Last updated
05/02/2023
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