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Individual
ANASTASIA LEIGH PETERSON
Active
Individual
ANASTASIA LEIGH PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
088285
IA
207Q00000X
Family Medicine Physician
Primary
088285
IA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
088285
IA
261QU0200X
Urgent Care Clinic/Center
088285
IA
363AM0700X
Medical Physician Assistant
088285
IA
Other
Enumeration date
07/19/2017
Last updated
11/02/2021
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