Individual
DR. WILLIAM PATRICK PETERSEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1635 N GEORGE MASON DR STE 310, ARLINGTON, VA 22205-3616
(703) 810-5215
(703) 810-5428
Mailing address
PO BOX 75868, BALTIMORE, MD 21275-5868
(866) 706-7846
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101266295
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2013
Last updated
10/26/2020
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