Dermatology
Dr. JEFFREY PETERSEN MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1275551707 · enumerated 2006-07-17 · record updated 2014-07-25. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 1011 BOWLES AVE, SUITE 121, FENTON, MO, 63026-2395 (314) 200-2713 Fax (314) 200-2714 Google Maps Apple Maps OpenStreetMap
- Mailing address 1011 BOWLES AVE, SUITE 121, FENTON, MO, 63026-2395 (314) 200-2713 Fax (314) 200-2714 Google Maps Apple Maps OpenStreetMap
Specialties
- Dermatology 207N00000X · Primary · License 2001020599 MO
- Dermatology, MOHS-Micrographic Surgery 207ND0101X · License 2001020599 MO
In this directory
Locations and evidence
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Practice location
FENTON, MO, 630262395
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.