MEDICARE: DR. DAVID A PETER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	2017037297	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508827395
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID A PETER M.D.

Provider Business Mailing Address
First Line	:	'PO BOX 959354 ST LOUIS MO 63195'
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-0001
Country	:	US
Telephone Number	:	636-916-7233
Fax Number	:	636-916-7234

Provider Business Practice Location Address
First Line	:	201 BJC ST PETERS DRIVE STE 100 SAINT PETERS MO 63376
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63195-0001
Country	:	US
Telephone Number	:	636-916-7233
Fax Number	:	636-916-7234

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2006
Last Update Date	:	12/24/2025

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