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Individual
DR. ERIC J PETERSEN
Active
Individual
DR. ERIC J PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
43275
TX
207Q00000X
Family Medicine Physician
7333423-1205
UT
207Q00000X
Family Medicine Physician
MD 60036832
WA
207Q00000X
Family Medicine Physician
Primary
N8336
TX
390200000X
Student in an Organized Health Care Education/Training Program
ML 20009169
WA
Other
Enumeration date
05/06/2008
Last updated
07/12/2016
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