Individual
SARAH ROSE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13700 ST FRANCIS BLVD, SUITE # 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
Mailing address
13700 ST FRANCIS BLVD, SUITE # 305, MIDLOTHIAN, VA 23114-3222
(804) 320-2483
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101259917
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
05/31/2012
Last updated
08/18/2016
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