Individual
JASON PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
(808) 257-5653
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 257-3365
(808) 257-5653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1060304
—
Other
Enumeration date
01/27/2006
Last updated
11/01/2022
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