Jeffry Lynes Peterson, CRNA

NPI #1164569729 in Red Bud, Illinois

Provider Information

NPI Number
1164569729
Entity Type
Individual
Name
Jeffry Lynes Peterson, CRNA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Credential
CRNA
Enumeration Date
Jan 31, 2007
Last Updated
Feb 4, 2020

Practice Location

Address
10117 PINE CREST RD
ZIP Code
62278-4458
Phone
(618) 282-2872

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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