Individual
JEFFREY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 PIIKOI ST STE 205, HONOLULU, HI 96814-3139
(808) 591-9911
(808) 591-9909
Mailing address
PO BOX 31000, HONOLULU, HI 96849-8295
(808) 591-9911
(808) 591-9909
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD-18341
HI
207WX0009X
Glaucoma Specialist (Ophthalmology) Physician
MD-18341
HI
Other
Enumeration date
04/10/2010
Last updated
07/21/2022
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