Organization
ROBERT L. PETERSON, INC.
Active
Other names
Athena Group
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT L PETERSON M.D. (OWNER)
(808) 944-8551
Entity
Organization
Contact information
Practice address
1319 PUNAHOU ST, #1070, HONOLULU, HI 96826-1001
(808) 944-8557
(808) 955-5667
Mailing address
1319 PUNAHOU ST, #1070, HONOLULU, HI 96826-1001
(808) 944-8557
(808) 955-5667
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD7087
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
91264
BLUE CROSS BLUE SHEILD
HI
05
—
91264
—
HI
01
—
MD7087
QUEENS HEALTH CARE
HI
Enumeration date
05/20/2006
Last updated
08/22/2020
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