MR. Scott D. Petersen, PA-C

NPI #1689640948 in Avon, Ohio

Provider Information

NPI Number: 1689640948
Entity Type: Individual
Name: MR. Scott D. Petersen, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Feb 27, 2006
Last Updated: Nov 17, 2016

Practice Location

Address: 33300 CLEVELAND CLINIC BLVD
Address 2: MAIL CODE AVH4-143
City: Avon
State: Ohio
ZIP Code: 44011
Phone: (440) 695-5449

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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