NPI Index

DR. WYLAN PETERSON, M.D.

Surgery - Surgical Critical Care

Active Individual
NPI: 1659395523

Practice Address

3551 ROGER BROOKE DR
ATT'N MS. SHAWANA JUDGE
Fort Sam Houston, TX 78234

Phone: (210) 916-1064

Specialties

Specialty Code Primary License
Internal Medicine - Critical Care Medicine 207RC0200X No Q0151 (TX)
Surgery 208600000X No Q0151 (TX)
Surgery - Surgical Critical Care 2086S0102X Yes Q0151 (TX)

Frequently Asked Questions

NPI 1659395523 is the National Provider Identifier for DR. WYLAN PETERSON, M.D., a Surgery - Surgical Critical Care provider located in Fort Sam Houston, TX. This NPI was enumerated on July 26, 2006.
DR. WYLAN PETERSON, M.D. practices at 3551 ROGER BROOKE DR, ATT'N MS. SHAWANA JUDGE, Fort Sam Houston, TX 78234.

Quick Facts

NPI
1659395523
Type
Individual
Enumerated
Jul 26, 2006
Last Updated
Jun 18, 2024

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