Calvin H Peterson, PAC

NPI #1508845421 in Southbridge, Massachusetts

Provider Information

NPI Number: 1508845421
Entity Type: Individual
Name: Calvin H Peterson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Jan 10, 2006
Last Updated: Dec 29, 2014

Practice Location

Address: 100 SOUTH ST
City: Southbridge
State: Massachusetts
ZIP Code: 01550-4051
Phone: (508) 765-9771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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