Steven Warren Peterson D.O.

NPI 1730113317 - Surgery - 208600000X

NPI Details
NPI 1730113317
Gender Male
Enumeration Date 07/10/2006
Last Updated 08/16/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1315 WATERS EDGE DR
SUITE # 107
GRANBURY TX, 76048-1300, US
Phone (817) 579-5476
Fax (817) 579-5489
Business Location
1315 WATERS EDGE DR
SUITE # 107
GRANBURY TX, 76048-1300, US
Phone (817) 579-5476
Fax (817) 579-5489
Toxanomy
Taxonomy Code 208600000X
License State Texas
License Number L7110
Remove 1730113317 NPI Number
 

According to our database, Steven Warren Peterson D.O. NPI is 1730113317, taxonomy code is 208600000X and license number is L7110, license state is located at Texas. Steven Warren Peterson D.O. physically located at 1315 Waters Edge Dr, Granbury TX, 76048-1300. NPI Number Steven Warren Peterson D.O. has the Individual type.

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1730113317 NPI number is provided on an as is basis without warranty of any kind. 1730113317 is maintained by the National Plan & Provider Enumeration System. The contents of Steven Warren Peterson D.O. are for informational purposes only.