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Contact Information

PETER V BETTONVILLE, MD
3844 S LINDBERGH BLVD.
SUITE 160
SAINT LOUIS, MO63127
 Phone: 314-698-2500
 Fax: 314-698-2323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PETER V BETTONVILLE · (Male)

NPI Number 1144273657
Status Active
Credentials MD
Entity Individual
Enumeration date 05/18/2006
Last updated 03/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R7B20
  • MO Other P01134505 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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