Individual provider · Type 1 NPI

Brian G. Peterson, MD

Vascular Surgery Physician · St. Louis, MO

NPI number 1356359376 Active

Practice location

10012 Kennerly Rd, Suite 305
St. Louis, MO 63128-2197

Fax (314) 525-4365

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129X2006019887 (MO)

Vascular Surgery Physician: 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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About NPI 1356359376

Brian G. Peterson, MD's National Provider Identifier is 1356359376, issued on Aug 4, 2006. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in St. Louis, MO. The record was last updated on May 24, 2016.