Randolph E Peterson

NPI #1679752802 in Ontario, Oregon

Provider Information

NPI Number: 1679752802
Entity Type: Organization
Organization Name: Randolph E Peterson
Primary Specialty: Orthopaedic Surgery
Enumeration Date: Oct 24, 2007
Last Updated: Oct 24, 2007

Practice Location

Address: 840 SW 4TH AVENUE
City: Ontario
State: Oregon
ZIP Code: 97914-2627
Phone: (541) 889-2899

Authorized Official

Name: LESLIE PETERSON
Title: MANAGER
Phone: (541) 889-2899

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Orthopaedic Surgery	207X00000X	Primary

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