Individual
MR. SCOTT W PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
950 BOGARD RD, SUITE 233, WASILLA, AK 99654-7105
(907) 352-2880
(907) 352-2885
Mailing address
950 BOGARD RD, SUITE 233, WASILLA, AK 99654-7105
(907) 352-2880
(907) 352-2885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
246
AK
Other
Enumeration date
03/23/2007
Last updated
07/09/2007
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