Individual
LEAH M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
651 E PRESCOTT RD, SALINA, KS 67401-7408
(785) 825-7251
(785) 825-6887
Mailing address
651 E PRESCOTT RD, SALINA, KS 67401-7408
(785) 825-7251
(785) 825-6887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04-26726
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04-36726
KSBOHA
KS
Enumeration date
04/19/2012
Last updated
09/25/2018
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