Dr. Jeffrey E Petersen, MD
Dr. Jeffrey E Petersen, MD is a Dermatology in Fenton, Missouri. Graduated from Indiana University School of Medicine in 1995, 31 years ago. Practices with St Louis Dermatology LLC, a 6-clinician group and accepts Medicare assignment. Licensed in Missouri.
- Years since qualifying
- 31
- Trained at
- Indiana University School of Medicine
- Licensed in
- MO
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
1011 Bowles Ave Ste 121Fenton, MO 63026-2395
Phone: (314) 200-2713
Fax: (314) 200-2714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X · Licence 2001020599 (MO) |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X · Licence 2001020599 (MO) |
Record details
| NPI number | 1275551707 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | July 17, 2006 |
| Last updated in NPPES | July 25, 2014 |
| Mailing address | 1011 Bowles Ave, Suite 121, Fenton, MO 63026-2395 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1995 (31 years in practice) |
| Group practice | St Louis Dermatology Llc — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Fenton
-
St Louis Dermatology LLC
1011 Bowles Ave Ste 121, Fenton, MO 63026-2387 · (314) 200-2713