Individual
MR. ROBERT L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1319 PUNAHOU ST, 1070, HONOLULU, HI 96826-1001
(808) 944-8551
(808) 955-5667
Mailing address
1319 PUNAHOU ST, 1070, HONOLULU, HI 96826-1001
(808) 944-8551
(808) 955-5667
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD7087
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91264
BLUE CROSS BLUE SHIELD HI
HI
Enumeration date
01/09/2007
Last updated
03/08/2008
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