Individual provider · Type 1 NPI

Diane M. Petersen, MD

Obstetrics & Gynecology Physician · St. Louis, MO

NPI number 1790719342 Active

Practice location

10010 Kennerly Rd Fl 4
St. Louis, MO 63128-2106

Call (314) 525-6072 Map

Fax (314) 525-1387

Other practice locations

  • 615 S New Ballas Rd, St. Louis, MO 63141-8221 · (314) 251-7498

Specialties and licenses

TaxonomyCodeLicense
Obstetrics & Gynecology Physician Primary 207V00000X2002025841 (MO)

Obstetrics & Gynecology Physician: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2 other providers at this address

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About NPI 1790719342

Diane M. Petersen, MD's National Provider Identifier is 1790719342, issued on Jul 10, 2006. The primary taxonomy on file is Obstetrics & Gynecology Physician (207V00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 1, 2022.