DR. Roger Leslie Petersen, OD

NPI #1679515787 in Higginsville, Missouri

Provider Information

NPI Number: 1679515787
Entity Type: Individual
Name: DR. Roger Leslie Petersen, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jun 12, 2006
Last Updated: Oct 29, 2016

Practice Location

Address: 1817 MAIN ST
City: Higginsville
State: Missouri
ZIP Code: 64037-1524
Phone: (660) 584-2956

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Organizations

Provider Name	Specialty	City
Roger L Petersen Od	Optometrist	Higginsville	AI Deep Dive

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