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1174549497
PETER A FAHNESTOCK
SAINT LOUIS, MO
NPI
1174549497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: MO 2005018590)
Enumeration Date
2006-07-14
Last Update Date
2012-08-08
Business Address
Dr. PETER A FAHNESTOCK MD
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
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Mailing Address
Dr. PETER A FAHNESTOCK MD
915 N GRAND BLVD
SAINT LOUIS, MO 63106-1621
Phone number: 314-652-4100
Copy
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