Zachary James Petersen PA-C

NPI 1568885952 - Physician Assistant - 363A00000X

NPI Details
NPI 1568885952
Gender Male
Enumeration Date 01/22/2014
Last Updated 08/13/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
238 ELM STREET
HILL CITY SD, 57745, US
Phone (605) 574-4470
Fax (605) 574-4853
Business Location
353 FAIRMONT BLVD
RAPID CITY SD, 57701-7350, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State South Dakota
License Number 0901
Remove 1568885952 NPI Number
 

According to our database, Mr. Zachary James Petersen PA-C NPI is 1568885952, taxonomy code is 363A00000X and license number is 0901, license state is located at South Dakota. Zachary James Petersen PA-C physically located at 238 Elm Street, Hill City SD, 57745. NPI Number Zachary James Petersen PA-C has the Individual type.

Sponsored links

1568885952 NPI number is provided on an as is basis without warranty of any kind. 1568885952 is maintained by the National Plan & Provider Enumeration System. The contents of Zachary James Petersen PA-C are for informational purposes only.