Individual
DR. HENRY MARTIN ALTEPETER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
621 S NEW BALLAS RD, SUITE 7011B, SAINT LOUIS, MO 63141-8232
(314) 251-6840
(314) 251-7249
Mailing address
621 S NEW BALLAS RD, SUITE 7011B, SAINT LOUIS, MO 63141-8232
(314) 251-6840
(314) 251-7249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R9112
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020025370
RAILROAD MEDICARE
MO
05
—
1992792295
—
MO
01
—
P01112396
RAILROAD MEDICARE
MO
Enumeration date
10/02/2005
Last updated
07/23/2014
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