Individual
JOHN R PETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5360
(314) 268-4116
Mailing address
1465 S GRAND BLVD, SAINT LOUIS, MO 63104-1003
(314) 577-5360
(314) 268-4116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
R3K11
MO
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
R3K11
MO
Other
Enumeration date
08/07/2006
Last updated
01/11/2021
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