Individual
DR. JOHN E PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9119 W 74TH ST, SUITE 350, SHAWNEE MISSION, KS 66204-2215
(913) 789-3290
(913) 789-3208
Mailing address
901 E 104TH ST, MAILSTOP 400S, KANSAS CITY, MO 64131
(816) 931-1883
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
R4J15
MO
Other
Enumeration date
07/19/2005
Last updated
09/15/2020
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