Individual
DR. SAMUEL NOLAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
1867 WILLIAMS HWY, STE. 105, GRANTS PASS, OR 97527-5854
(541) 474-4694
(541) 474-9590
Mailing address
1867 WILLIAMS HWY, STE. 105, GRANTS PASS, OR 97527-5854
(541) 474-4694
(541) 474-9590
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23642
OR
Other
Enumeration date
11/08/2012
Last updated
11/08/2012
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