Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAMES A PETTERCHAK, MD
ActiveForensic Pathology · ST. LOUIS, MO
Registration Details
- NPI Number
- 1598832032
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 29, 2006 (19.402250360929 yrs)
- Last Updated
- Oct 1, 2008
- Licenses
-
036-101883 (IL)036-101883 (IL)036-101883 (IL)
Practice Information
- Address
-
3015 N. BALLASDEPT OF PATHOLOGYST. LOUIS, MO, 63131Browse MO providers · Browse ZIP 63131
- Phone
- 3149965551
- Fax
- 3149965551
- Primary Specialty
-
Forensic Pathology
207ZF0201X
- Additional Specialty
- Anatomic Pathology
- Additional Specialty
- Clinical Pathology/Laboratory 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.