DR. Jack T Peterson JR., MD

NPI #1508860487 in Topeka, Kansas

Provider Information

NPI Number
1508860487
Entity Type
Individual
Name
DR. Jack T Peterson JR., MD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Credential
MD
Enumeration Date
Jun 9, 2005
Last Updated
Apr 24, 2012

Practice Location

Address
631 SW HORNE ST
Address 2
STE 400
City
Topeka
State
Kansas
ZIP Code
66606-1661
Phone
(785) 234-9000

Specialties & Taxonomy Codes

Specialty
Specialist

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