MRS. Mendy Marie Peterson, PA-C

NPI #1205834173 in Omaha, Nebraska

Provider Information

NPI Number: 1205834173
Entity Type: Individual
Name: MRS. Mendy Marie Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 13, 2005
Last Updated: Jul 25, 2016

Practice Location

Address: 17030 LAKESIDE HILLS PLZ
Address 2: SUITE 102
City: Omaha
State: Nebraska
ZIP Code: 68130-2396
Phone: (402) 758-5800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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