Individual
DR. DAVID JAMES PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 328-1867
Mailing address
116 MINNIE ST, FAIRBANKS, AK 99701-3006
(907) 456-7760
(907) 328-1867
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2496
MN
152W00000X
Optometrist
358
AK
Other
Enumeration date
10/14/2005
Last updated
11/29/2016
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