Individual
DR. RICHARD JAMES PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
623 39TH ST W, SUITE 2, BRADENTON, FL 34205-2408
(941) 744-2640
(941) 744-2650
Mailing address
5304 4TH AVENUE CIR E, BRADENTON, FL 34208-5624
(941) 744-2640
(941) 744-2650
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME58291
FL
Other
Enumeration date
08/13/2006
Last updated
04/30/2014
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