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James H Petersen, MD
Gastroenterology Physician in Lake St Louis, Missouri
NPI 1831169275

James H Petersen is a Gastroenterology Physician based in Lake St Louis, MO and is specialized in Gastroenterology. James H Petersen practices in Lake St Louis, MO and has the professional credentials of MD. The NPI Number for James H Petersen is 1831169275 and holds a License No. MOR7B69 (Missouri).

The current practice location address for James H Petersen is 200 Brevco Plz, Lake St Louis, MO and can be reached out via phone at 636-561-9020.

Location: 200 Brevco Plz, Lake St Louis, MO, 63367-2949
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831169275
Provider Name
James H Petersen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
200 Brevco Plz, Lake St Louis, MO, 63367-2949
Phone Number
636-561-9020
Fax Number
Provider Enumeration Date
01/26/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1831169275 05 MO
P01021819 01 MO RAILROAD MEDICARE
24528 01 MO BC/BS MISSOURI
202263828 05 MO
institution
Provider Business Practice Location Address Details
Address
200 Brevco Plz
City
Lake St Louis
State
Missouri
Zip
63367-2949
Phone Number
636-561-9020
Fax Number
person
Provider Business Mailing Address Details
Address
200 Brevco Plz
City
Lake St Louis
State
Missouri
Zip
63367-2949
Phone Number
636-561-9020
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Gastroenterology
Taxonomy
207RG0100X
License No.
MOR7B69 (Missouri)
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
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