Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY E PETERSEN, MD
ActiveDR. JEFFREY E PETERSEN, MD is a Dermatology healthcare provider located in FENTON, Missouri. NPI 1275551707 is currently active in the NPPES registry. Verify at CMS.
Dermatology · FENTON, MO
Registration Details
- NPI Number
- 1275551707
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 17, 2006 (20.114278228094 yrs)
- Last Updated
- Jul 25, 2014
- Licenses
-
2001020599 (MO)2001020599 (MO)
Practice Information
- Address
-
1011 BOWLES AVESUITE 121FENTON, MO, 630262395Browse MO providers · Browse ZIP 63026
- Phone
- 3142002713
- Fax
- 3142002714
- Primary Specialty
-
Dermatology
207N00000X
- Additional Specialty
- Obesity Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.