Individual
JOSEPH TAYLOR PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
400 W BENSON BLVD, ANCHORAGE, AK 99503-3829
(907) 729-4654
Mailing address
7033 E TUDOR RD, ANCHORAGE, AK 99507-1262
(907) 729-1820
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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