Individual
GARY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3276 OLD HARRISBURG RD, GETTYSBURG, PA 17325-7543
(717) 334-9736
Mailing address
3276 OLD HARRISBURG RD, GETTYSBURG, PA 17325-7543
(717) 334-9736
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/10/2021
Last updated
09/10/2021
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