Organization
BRIAN PETERSON ORTHOPEDICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE HAWTHORN (MANAGING MEMBER)
(714) 234-6728
Entity
Organization
Contact information
Practice address
120 FRANK MARTIN RD STE 200, SHELBYVILLE, TN 37160-7102
(931) 841-9200
Mailing address
2370 ANSELMO DR, CORONA, CA 92879-7106
(951) 736-0137
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/12/2024
Last updated
06/12/2024
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