DR. RUSSELL PETERSEN JR., DO

Student in an Organized Health Care Education/Training Program

Active Individual
NPI: 1073206439

Practice Address

2630 BISSONNET ST APT 2405
Houston, TX 77005

Phone: (801) 588-9525

Specialties

Specialty Code Primary License
Student in an Organized Health Care Education/Training Program 390200000X Yes -

Frequently Asked Questions

NPI 1073206439 is the National Provider Identifier for DR. RUSSELL PETERSEN JR., DO, a Student in an Organized Health Care Education/Training Program provider located in Houston, TX. This NPI was enumerated on May 31, 2023.
DR. RUSSELL PETERSEN JR., DO practices at 2630 BISSONNET ST APT 2405, Houston, TX 77005.

Quick Facts

NPI
1073206439
Type
Individual
Enumerated
May 31, 2023
Last Updated
May 31, 2023

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