Healthcare Provider Details

I. General information

NPI: 1093823833
Provider Name (Legal Business Name): L PETER ZHANG MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 CRAIG RD STE 200
SAINT LOUIS MO
63141-7190
US

IV. Provider business mailing address

777 CRAIG RD STE 200
SAINT LOUIS MO
63141-7190
US

V. Phone/Fax

Practice location:
  • Phone: 928-456-1189
  • Fax: 817-622-8068
Mailing address:
  • Phone: 928-456-1189
  • Fax: 817-622-8068

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number2002028080
License Number StateMO

VIII. Authorized Official

Name: DR. L PETER ZHANG
Title or Position: PSYCHIATRIST
Credential: M.D.
Phone: 314-541-9024