Darryl W. Peterson

NPI #1487949657 in Baton Rouge, Louisiana

Provider Information

NPI Number
1487949657
Entity Type
Organization
Organization Name
Darryl W. Peterson
Primary Specialty
Special Hospital
Enumeration Date
Jun 15, 2011
Last Updated
Jun 15, 2011

Practice Location

Address
7855 HOWELL PLACE BLVD
Address 2
SUITE 200
ZIP Code
70807-5256
Phone
(225) 454-6000

Authorized Official

Name
DARRYL WAYNE PETERSON, M.D.
Title
PHYSICIAN
Phone
(225) 454-6000

Specialties & Taxonomy Codes

Specialty
Special Hospital

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