Peterson Performance Products INC

NPI #1568758282 in Bend, Oregon

Provider Information

NPI Number: 1568758282
Entity Type: Organization
Organization Name: Peterson Performance Products INC
Primary Specialty: Durable Medical Equipment & Medical Supplies - Customized Equipment
Enumeration Date: Jun 21, 2011
Last Updated: Jun 21, 2011

Practice Location

Address: 900 SE WILSON AVE
Address 2: SUITE F
City: Bend
State: Oregon
ZIP Code: 97702-1416
Phone: (541) 647-1108

Authorized Official

Name: MR. SCOTT WILLIAM PETERSON, C. PED., C. O.
Title: PRESIDENT
Phone: (541) 647-1108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies - Customized Equipment — Customized Equipment	332BC3200X	Primary

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