Gilman Peterson MD Psc

NPI #1053512483 in Glasgow, Kentucky

Provider Information

NPI Number: 1053512483
Entity Type: Organization
Organization Name: Gilman Peterson MD Psc
Primary Specialty: Specialist
Enumeration Date: May 31, 2007
Last Updated: Oct 10, 2012

Practice Location

Address: 109 BRAVO BLVD
City: Glasgow
State: Kentucky
ZIP Code: 42141-3412
Phone: (270) 651-8328

Authorized Official

Name: GILMAN P. PETERSON JR., M.D.
Title: PRESIDENT
Phone: (270) 651-8328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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