IndividualActive
Robert Petersen, MD
NPI 1912296757 · Pediatric Cardiology Physician · Saint Louis, MO
Provider details
- NPI number
- 1912296757
- Entity type
- Individual
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2014011778 (MO)
Practice location
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Phone: (314) 577-5380
Fax: (314) 268-4141
Mailing address
1465 S Grand Blvd
Saint Louis, MO 63104-1003
Registry dates
- Enumerated
- 2011-04-01
- Last updated
- 2025-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.