Russell D Peterson, D.O.

NPI #1144322504 in Roanoke, Alabama

Provider Information

NPI Number: 1144322504
Entity Type: Individual
Name: Russell D Peterson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Sep 5, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 965 US HWY 431
City: Roanoke
State: Alabama
ZIP Code: 36274
Phone: (334) 863-2141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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