Individual
DR. JOHN L PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Mailing address
615 RIDGE RD, ROXBORO, NC 27573-4629
(336) 599-2121
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
9800115
NC
Other
Enumeration date
05/04/2006
Last updated
10/07/2020
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