Terry A Peterson, PA-C

NPI #1093733693 in Fargo, North Dakota

Provider Information

NPI Number: 1093733693
Entity Type: Individual
Name: Terry A Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 18, 2006
Last Updated: Apr 18, 2016

Practice Location

Address: 2601 BROADWAY N
City: Fargo
State: North Dakota
ZIP Code: 58102-6704
Phone: (701) 234-2900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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