John J. Puetz, MD

Pediatrics Physician · Bridgeton, MO

Individual Active NPI

NPI number 1508811068

Practice location

12303 Depaul Drive
Bridgeton, MO 63044
Phone
(314) 344-6000

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NPI record

NPI
1508811068
Entity type
Individual (Type 1)
Enumeration date
May 23, 2006
Last updated
October 30, 2020
Certified
October 30, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatrics Physician Primary 208000000X 100622 MO

Mailing address

1836 Lackland Hill Pkwy
Attention: Credentialing Supervisor
Saint Louis, MO 63146-3572
Phone
(314) 989-0300

About Dr. Puetz

John J. Puetz, MD is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 12303 Depaul Drive, Bridgeton, MO 63044. The NPI number 1508811068 was assigned on May 23, 2006 and the record was last updated on October 30, 2020.

Dr. Puetz lists a license in the registry: #100622 (MO) for Pediatrics Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of John J. Puetz, MD?

The NPI number is 1508811068.

What is the phone number of Dr. Puetz?

The phone number listed for the practice location is (314) 344-6000.

Where is Dr. Puetz located?

12303 Depaul Drive, Bridgeton, MO 63044.

What is the taxonomy code for Dr. Puetz?

The primary taxonomy code is 208000000X – Pediatrics Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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