Judy Jones Petersen, D.O.

NPI #1023251840 in Charleston, West Virginia

Provider Information

NPI Number: 1023251840
Entity Type: Individual
Name: Judy Jones Petersen, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Apr 8, 2009
Last Updated: Sep 6, 2012

Practice Location

Address: 600 MORRIS ST
Address 2: SUITE 103
City: Charleston
State: West Virginia
ZIP Code: 25301-1409
Phone: (304) 388-7040

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Family Medicine	207Q00000X	Primary

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