Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Gary J Peterson, MD

Individual provider Vascular Surgery Physician · NPI 1902900517

Dr. Gary J Peterson, MD is a Vascular Surgery Physician in Saint Louis, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

10012 Kennerly Rd Ste 305
Saint Louis, MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence R5836 (MO)

Record details

NPI number1902900517
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 12, 2006
Last updated in NPPESMay 24, 2016

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