Individual
MARK PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1441 NATURAL SPRING LN, ROCKINGHAM, VA 22801-2283
(571) 299-7060
Mailing address
1441 NATURAL SPRING LN, ROCKINGHAM, VA 22801-2283
(571) 299-7060
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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