Individual
PAUL ERIC PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
7500 WORNALL RD, KANSAS CITY, MO 64114-1816
(816) 444-4179
(816) 444-7159
Mailing address
7500 WORNALL RD, KANSAS CITY, MO 64114-1816
(816) 444-4179
(816) 444-7159
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
028164
MO
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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