Individual
DARRYL L PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1110 SAINT MARYS RD, JUNCTION CITY, KS 66441-4176
(857) 762-2585
(785) 210-3438
Mailing address
1110 SAINT MARYS RD, JUNCTION CITY, KS 66441-4176
(857) 762-2585
(785) 210-3438
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-01662
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42880500
—
WI
Enumeration date
02/06/2006
Last updated
12/31/2025
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