Taylor J Peterson, PA-C

NPI #1962024265 in Lima, Ohio

Provider Information

NPI Number: 1962024265
Entity Type: Individual
Name: Taylor J Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 11, 2020
Last Updated: Jul 2, 2021

Practice Location

Address: 1005 BELLEFONTAINE AVE STE 225
City: Lima
State: Ohio
ZIP Code: 45804-2896
Phone: (419) 998-8276

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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