JOHN PETERSEN, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1164580429
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Surgical | 363AS0400X | Yes | PA00228 (OR) |
Frequently Asked Questions
NPI 1164580429 is the National Provider Identifier for JOHN PETERSEN, PA, a Physician Assistant - Surgical provider located in Medford, OR. This NPI was enumerated on December 5, 2006.
JOHN PETERSEN, PA practices at 520 MEDICAL CENTER DR, SUITE 201, Medford, OR 97504.
Quick Facts
- NPI
- 1164580429
- Type
- Individual
- Enumerated
- Dec 5, 2006
- Last Updated
- Jan 16, 2013
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