Individual
DR. EMILY ANN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 RADNOR RD, SUITE 101, STATE COLLEGE, PA 16801-7986
(814) 231-7878
(814) 237-1034
Mailing address
100 RADNOR RD, STE 101, STATE COLLEGE, PA 16801-7986
(814) 231-7878
(814) 237-1034
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD429105
PA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD429105
PA
Other
Enumeration date
04/10/2008
Last updated
02/04/2020
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