Individual
ANDREW JOSEPH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 N HOSPITAL DR, FULTON, MO 65251-2511
(573) 642-5911
(573) 642-3015
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65212-1000
(573) 884-2912
(573) 884-7060
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036145425
IL
207Q00000X
Family Medicine Physician
2015019323
MO
Other
Enumeration date
06/18/2015
Last updated
11/25/2025
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