Jeffrey E Petersen in Fenton - Mohs-micrographic Surgery
Jeffrey E Petersen - NPI 1275551707
Jeffrey E Petersen is a Mohs-micrographic Surgery in Fenton, Missouri. Jeffrey E Petersen practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. 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 |
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Address | 1011 Bowles Ave, Fenton, Missouri |
Phone Number | 3142002713 |
Fax Number | 3142002714 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1275551707 |
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Provider Enumeration Date | 2006-07-17 |
Last Updated Date | 2014-07-25 |
Provider Mailing Address Detail
Address | 1011 Bowles Ave |
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City | Fenton |
State | Missouri (MO) |
Post Code | 630262395 |
Phone Number | 3142002713 |
Fax Number | 3142002714 |
Provider's Primary Taxonomy Detail
Speciality | Mohs-micrographic Surgery |
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Taxonomy | 207Nd0101X |
Licence No | 2001020599 |
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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 Mohs-micrographic Surgery, and it falls under the taxonomy code 207Nd0101X, 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.