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1952988347
MATTHEW PETTIS
SAINT LOUIS, MO
NPI
1952988347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MO 2024024624)
Enumeration Date
2021-03-24
Last Update Date
2024-09-04
Business Address
MATTHEW PETTIS MD
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8221
Phone number: 314-251-6339
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Mailing Address
MATTHEW PETTIS MD
621 S NEW BALLAS RD STE 112A
SAINT LOUIS, MO 63141-8252
Phone number: 314-251-6339
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