Individual
DR. ROSS C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Mailing address
2315 MYRTLE ST STE 190, ERIE, PA 16502-4604
(814) 453-7767
(814) 454-6667
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD418758
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010580080002
—
PA
01
—
P00176037
RR MEDICARE
PA
Enumeration date
01/04/2006
Last updated
09/30/2020
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