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Individual

WILLIAM PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
6530 TROOST AVE, STE A, KANSAS CITY, MO 64131-1230
(816) 361-0670
(816) 444-6936
Mailing address
6530 TROOST AVE, STE A, KANSAS CITY, MO 64131-1230
(816) 361-0670
(816) 444-6936

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
0434193
KS
207RN0300X
Nephrology Physician
Primary
2010004186
MO
207RN0300X
Nephrology Physician
27836
AL

Other

Enumeration date
05/07/2007
Last updated
07/20/2010
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