Individual
LOUIS HAYWARD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 PROSPECT AVE, STE T403, KANSAS CITY, MO 64132
(816) 523-1222
(816) 363-0434
Mailing address
6420 PROSPECT AVE, STE T403, KANSAS CITY, MO 64132
(816) 523-1222
(816) 363-0434
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
113918
MO
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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