Organization
JOSEPH R PETERSON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ROGER PETERSON M.D. (PRESIDENT)
(830) 249-6321
Entity
Organization
Contact information
Practice address
1414 E BLANCO RD, SUITE 9, BOERNE, TX 78006-1834
(830) 249-6321
(830) 249-7138
Mailing address
1414 E BLANCO RD, SUITE 9, BOERNE, TX 78006-1834
(830) 249-6321
(830) 249-7138
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
08/29/2007
Last updated
11/15/2007
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