Individual provider · Type 1 NPI

Jeffrey E. Petersen, MD

Dermatology Physician · Fenton, MO

NPI number 1275551707 Active

Practice location

1011 Bowles Ave, Suite 121
Fenton, MO 63026-2395

Call (314) 200-2713 Map

Fax (314) 200-2714

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician Primary 207N00000X2001020599 (MO)
MOHS-Micrographic Surgery Physician 207ND0101X2001020599 (MO)

Dermatology Physician: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis an…

35 other providers at this address

About NPI 1275551707

Jeffrey E. Petersen, MD's National Provider Identifier is 1275551707, issued on Jul 17, 2006. The primary taxonomy on file is Dermatology Physician (207N00000X), and the practice location is in Fenton, MO. The record was last updated on Jul 25, 2014.