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Individual
ELISHA E PETERSON
Active
Individual
ELISHA E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD046316
DC
207L00000X
Anesthesiology Physician
Q9475
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Q9475
TX
207LP3000X
Pediatric Anesthesiology Physician
Q9475
TX
Other
Enumeration date
09/01/2011
Last updated
10/07/2024
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