Jack A Peterson, D.O.

NPI #1790717163 in Cochranton, Pennsylvania

Provider Information

NPI Number: 1790717163
Entity Type: Individual
Name: Jack A Peterson, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: D.O.
Enumeration Date: Jul 7, 2006
Last Updated: Jul 6, 2021

Practice Location

Address: 180 N FRANKLIN ST STE B
City: Cochranton
State: Pennsylvania
ZIP Code: 16314-9706
Phone: (814) 424-1126

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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