Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VE0102X | Reproductive Endocrinologist | R9J05 | MO |
NPI | 1063525038 |
---|---|
Provider Name | Dr. Peter Ahlering |
First Address | Las Vegas, NV 89118-1840 |
Second Address | Saint Louis, MO 63141 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 29/12/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E43798 | (02) | MO |