Ivey G Peterson, PA-C

NPI #1407837727 in Sterling, Virginia

Provider Information

NPI Number
1407837727
Entity Type
Individual
Name
Ivey G Peterson, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Surgical
Credential
PA-C
Enumeration Date
Nov 14, 2005
Last Updated
Dec 2, 2009

Practice Location

Address
21475 RIDGETOP CIR
Address 2
SUITE 150
ZIP Code
20166-6580
Phone
(703) 444-5000

Specialties & Taxonomy Codes

Specialty
Physician Assistant - SurgicalSurgical

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