Individual
MR. GREGORY H PETERSON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1099 OHIO RIVER BLVD, SEWICKLEY, PA 15143-2056
(412) 741-5670
(412) 741-8520
Mailing address
PO BOX 323, BAKERSTOWN, PA 15007-0323
(724) 443-2442
(412) 741-8520
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA000634L
PA
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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