Individual
ERIC BRUCE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., FAAA
Contact information
Practice address
5788 ECKHERT RD, VA OUTPATIENT CLINIC (ATTN: AUDIOLOGY), SAN ANTONIO, TX 78240
(210) 699-2100
(210) 699-2260
Mailing address
15307 SPRING MIST, SAN ANTONIO, TX 78247-5708
(210) 967-5857
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
51123
TX
Other
Enumeration date
07/11/2006
Last updated
07/08/2007
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