John J Petersen, PA

NPI #1164580429 in Medford, Oregon

Provider Information

NPI Number
1164580429
Entity Type
Individual
Name
John J Petersen, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA
Enumeration Date
Dec 5, 2006
Last Updated
Jan 16, 2013

Practice Location

Address
520 MEDICAL CENTER DR
Address 2
SUITE 201
State
Oregon
ZIP Code
97504-4334
Phone
(541) 789-5710

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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