Individual
JUSTINE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 336-2140
(605) 336-1986
Mailing address
1200 S 7TH AVE, SIOUX FALLS, SD 57105-0900
(605) 504-5400
(605) 504-5150
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0914
SD
Other
Enumeration date
02/11/2014
Last updated
04/19/2022
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