Russell D Peterson D.O.

NPI 1144322504 - Family Medicine - 207Q00000X

NPI Details
NPI 1144322504
Gender Male
Enumeration Date 09/05/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
965 US HWY 431
Phone (334) 863-2141
Fax (334) 863-8733
Business Location
PO BOX 625
ROANOKE AL, 36274-0625, US
Phone (334) 863-2141
Fax (334) 863-8733
Taxonomy Code 207Q00000X
License State Alabama
License Number DO436
Remove 1144322504 NPI Number

According to our database, Russell D Peterson D.O. NPI is 1144322504, taxonomy code is 207Q00000X and license number is DO436, license state is located at Alabama. Russell D Peterson D.O. physically located at 965 Us Hwy 431, Roanoke AL, 36274. NPI Number Russell D Peterson D.O. has the Individual type.

1144322504 NPI number is provided on an as is basis without warranty of any kind. 1144322504 is maintained by the National Plan & Provider Enumeration System. The contents of Russell D Peterson D.O. are for informational purposes only.