Glenn Adam Peterson, PA-C

NPI #1972031698 in Poulsbo, Washington

Provider Information

NPI Number: 1972031698
Entity Type: Individual
Name: Glenn Adam Peterson, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 25, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 19835 10TH AVE NE STE B
City: Poulsbo
State: Washington
ZIP Code: 98370-7451
Phone: (360) 779-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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