Individual
ERIKA ANNE PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4301 W MARKHAM ST, SLOT 507, LITTLE ROCK, AR 72205-7101
(501) 686-5270
Mailing address
4301 W MARKHAM ST, SLOT 507, LITTLE ROCK, AR 72205-7101
(501) 686-5270
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
E-6628
AR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP1-0018276
INSTITUTIONAL PERMIT
—
Enumeration date
06/05/2007
Last updated
06/21/2011
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