Jeffrey E Petersen in Fenton - Dermatology
Jeffrey E Petersen - NPI 1275551707
Jeffrey E Petersen is a Dermatology in Fenton, Missouri. Jeffrey E Petersen practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Jeffrey E Petersen is 1275551707. The last update date is 2014-07-25.
Jeffrey E Petersen's current location address is 1011 Bowles Ave, Fenton, Missouri. You can contact this provider via phone number 3142002713 and fax number 3142002714. The mailing address for Jeffrey E Petersen is 1011 Bowles Ave, Fenton, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey E Petersen |
|---|---|
| Address | 1011 Bowles Ave, Fenton, Missouri |
| Phone Number | 3142002713 |
| Fax Number | 3142002714 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1275551707 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
| Address | 1011 Bowles Ave |
|---|---|
| City | Fenton |
| State | Missouri (MO) |
| Post Code | 630262395 |
| Phone Number | 3142002713 |
| Fax Number | 3142002714 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | 2001020599 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 703212 | MO | AETNA | |
| 146422 | MO-BLUE SHIELD | ||
| 205401409 | MO | -- | |
| 853972 | MO | ANTHEM | |
| 3177332 | MO | CIGNA |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffrey E Petersen by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffrey E Petersen has been assigned the NPI (National Provider Identifier) 1275551707. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Jeffrey E Petersen is located?
The Jeffrey E Petersen is situated at the following address: 1011 Bowles Ave, Fenton, MO, 630262395.
What is the Jeffrey E Petersen's area of specialization and corresponding taxonomy classification?
The Jeffrey E Petersen's specialty field is Dermatology, and it falls under the taxonomy code 207N00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1275551707 to Jeffrey E Petersen?
The Centers for Medicare & Medicaid Services assigned the 1275551707 to Jeffrey E Petersen on 2006-07-17.
When was the Jeffrey E Petersen's information last updated?
The Jeffrey E Petersen's information was last updated on 2014-07-25.