person
Dr. Brian G Peterson, MD
Vascular Surgery Physician in Saint Louis, Missouri
NPI 1356359376

Brian G Peterson is a Vascular Surgery Physician based in Saint Louis, MO and is specialized in Vascular Surgery. Brian G Peterson practices in Saint Louis, MO and has the professional credentials of MD. The NPI Number for Brian G Peterson is 1356359376 and holds a License No. 2006019887 (Missouri).

The current practice location address for Brian G Peterson is 10012 Kennerly Rd, Saint Louis, MO and can be reached out via phone at 314-525-4325 and via fax at 314-525-4365.

Location: 10012 Kennerly Rd, Saint Louis, MO, 63128-2197
person
Provider Profile Details
NPI Number
1356359376
Provider Name
Brian G Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10012 Kennerly Rd, Saint Louis, MO, 63128-2197
Phone Number
314-525-4325
Fax Number
314-525-4365
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356329376 05 MO
institution
Provider Business Practice Location Address Details
Address
10012 Kennerly Rd
City
State
Zip
63128-2197
Phone Number
314-525-4325
Fax Number
314-525-4365
person
Provider Business Mailing Address Details
Address
10012 Kennerly Rd
City
State
Zip
63128-2197
Phone Number
314-525-4325
Fax Number
314-525-4365
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
License No.
2006019887 (Missouri)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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