PETER J ANDERSON, MD PC
Medical Practice at Bowles Ave, Fenton, MO

License number
Missouri 2004016388
Category
Medical Practice
Type
Orthopaedic Surgery
Owner
Name: PETER J ANDERSON MD
Title: OWNER
Phone: (314) 768-3216
Address
Address 2
1011 Bowles Ave SUITE 400, Fenton, MO 63026
PO Box 1521, Minneapolis, MN 55480
National Provider ID: 1568433639
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PETER J. ANDERSON, M.D., PC

Fenton, MO

Industry:
Medical Doctor's Office, Nonclassifiable Establishments
Registration:
Aug 5, 2004
Addresses:
1011 Bowles Avenuesuite 400, Fenton, MO 63026 (Physical)
1011 Bowles Ave, Fenton, MO 63026
State ID:
P00603467
Business type:
Professional Corporation
Expiration:
Perpetual
Owner, Principal:
Peter Anderson (Owner, Principal)
Agent:
Anderson , Peter J., Dr,1011 Bowles Ave STE 400, Fenton, MO 63026 (Physical)

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