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James Petterchak, MD

NPI 1598832032 · on the registry since 2006

Practice

Address
3015 N. Ballas
Dept Of Pathology
St. Louis, MO 63131
Phone
(314) 996-5551
Fax
(314) 996-5551

Registry record

Primary taxonomy
207ZF0201X
207ZF0201X
Also registered as
207ZP0101X
207ZP0105X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-10-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri