Diane M Petersen in Saint Louis - Obstetrics & Gynecology
Diane M Petersen - NPI 1790719342
Diane M Petersen is a Obstetrics & Gynecology in Saint Louis, Missouri. Diane M Petersen practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Diane M Petersen is 1790719342. The last update date is 2022-12-01.
Diane M Petersen's current location address is 10010 Kennerly Rd Fl 4, Saint Louis, Missouri. You can contact this provider via phone number 3145256072 and fax number 3145251387. The mailing address for Diane M Petersen is 10010 Kennerly Rd Fl 4, Saint Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Diane M Petersen |
|---|---|
| Address | 10010 Kennerly Rd Fl 4, Saint Louis, Missouri |
| Phone Number | 3145256072 |
| Fax Number | 3145251387 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1790719342 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2022-12-01 |
Provider Mailing Address Detail
| Address | 10010 Kennerly Rd Fl 4 |
|---|---|
| City | Saint Louis |
| State | Missouri (MO) |
| Post Code | 631282106 |
| Phone Number | 3145256072 |
| Fax Number | 3145251387 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 2002025841 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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What is the Diane M Petersen's 1790719342?
The Diane M Petersen's NPI (National Provider Identifier) Number is 1790719342. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Diane M Petersen?
The Diane M Petersen is physically situated at 10010 Kennerly Rd Fl 4, in the city of Saint Louis, state of MO, with the postal code 631282106.
What is the Diane M Petersen's area of specialization and corresponding taxonomy classification?
The Diane M Petersen's specialty field is Obstetrics & Gynecology, and it falls under the taxonomy code 207V00000X, which categorizes healthcare providers based on their specialties.
On what date did the Diane M Petersen receive its 1790719342 assignment from the Centers for Medicare & Medicaid Services?
The Diane M Petersen was assigned its 1790719342 by the Centers for Medicare & Medicaid Services on 2006-07-10.
As of what date were the details pertaining to Diane M Petersen last refreshed?
The information related to the Diane M Petersen, including its address, specialty, and other relevant details, was last updated on 2022-12-01.
NPI Number: 1417950320
Address: 1395 Center Drive, D7-6a, Box 100416, Gainesville, FL