Organization
PINNACLE HEALTH PARTNERS INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PETERSON DO (PHYSICIAN)
(570) 226-2151
Entity
Organization
Contact information
Practice address
HC 1 BOX 2170, TAFTON, PA 18464-9714
(570) 226-2151
Mailing address
415 N MAIN ST, WILKES BARRE, PA 18702-4411
(570) 208-5571
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013208020002
—
PA
Enumeration date
11/01/2007
Last updated
06/06/2008
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