IndividualActive
Brian Peterson, MD
NPI 1356359376 · Vascular Surgery Physician · Saint Louis, MO
Provider details
- NPI number
- 1356359376
- Entity type
- Individual
- Primary specialty
- Vascular Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2006019887 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
10012 Kennerly Rd
Suite 305
Saint Louis, MO 63128-2197
Phone: (314) 525-4325
Fax: (314) 525-4365
Approximate (ZIP-level) locationGet directions
Mailing address
10012 Kennerly Rd
Saint Louis, MO 63128-2197
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2016-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.