PETER FONSECA MD, PC
Organization (NPI-2)
Active
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Information
- NPI Number
1801008396- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 10004 KENNERLY SUITE 345A, ST. LOUIS, MO, 63128
- Phone
- (314) 543-5252
- Fax
- (314) 543-5211
Specialties & Taxonomies
Thoracic Surgery (Cardiothoracic Vascular Surgery)
Primary License: MO #116658