Individual
ALYSSA DAWN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
211 4TH ST, BROOKINGS, SD 57006-1917
(605) 697-2850
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1291
SD
Other
Enumeration date
03/01/2021
Last updated
03/04/2023
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