Individual provider · Type 1 NPI

Gary J. Peterson, MD

Vascular Surgery Physician · St. Louis, MO

NPI number 1902900517 Active

Practice location

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

Call (314) 525-4325 Map

Fax (314) 525-4365

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XR5836 (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 1902900517

Gary J. Peterson, MD's National Provider Identifier is 1902900517, issued on Sep 12, 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.