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Individual
DR. BARRY JOHN PETERSON
Active
Individual
DR. BARRY JOHN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
O-0522
ID
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
O-0522
ID
Other
Enumeration date
06/27/2007
Last updated
06/11/2014
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