DR. STACY PETERSON, M.D.
Surgery - Plastic and Reconstructive Surgery
Active
Individual
NPI: 1316030638
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Surgery - Plastic and Reconstructive Surgery | 2086S0122X | Yes | 0419242 (KS) |
Frequently Asked Questions
NPI 1316030638 is the National Provider Identifier for DR. STACY PETERSON, M.D., a Surgery - Plastic and Reconstructive Surgery provider located in Wichita, KS. This NPI was enumerated on September 30, 2006.
DR. STACY PETERSON, M.D. practices at 818 N EMPORIA ST, SUITE 305, Wichita, KS 67214.
Quick Facts
- NPI
- 1316030638
- Type
- Individual
- Enumerated
- Sep 30, 2006
- Last Updated
- Jul 8, 2007
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