DR. JACK PETERSON JR., MD
Specialist
Active
Individual
NPI: 1508860487
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | 0422259 (KS) |
Frequently Asked Questions
NPI 1508860487 is the National Provider Identifier for DR. JACK PETERSON JR., MD, a Specialist provider located in Topeka, KS. This NPI was enumerated on June 9, 2005.
DR. JACK PETERSON JR., MD practices at 631 SW HORNE ST, STE 400, Topeka, KS 66606.
Quick Facts
- NPI
- 1508860487
- Type
- Individual
- Enumerated
- Jun 9, 2005
- Last Updated
- Apr 24, 2012
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