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Organization

PETERSEN ANESTHESIA SERVICES

Active
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Organization

PETERSEN ANESTHESIA SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTEN PETERSEN (OWNER/PROVIDER)
(214) 244-1756
Entity
Organization

Contact information

Practice address
5085 PARK RD, SUITE 180B, PLANO, TX 75093-2593
(713) 812-7286
Mailing address
PO BOX 112, MUNCIE, IN 47308-0112
(765) 284-0493
(765) 284-2434

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary

Other

Enumeration date
04/17/2017
Last updated
04/17/2017
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