Individual
CHRISTINA STAR PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 BUREAU DRIVE BLDG 101, RM C-33, MS #1732, GAITHERSBURG, MD 20899-0001
(301) 975-5131
Mailing address
590 MEDICAL CENTER ROAD, BLDG # 36065, FT. HOOD, TX 76544-5060
(254) 553-4196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C06578
MD
Other
Enumeration date
09/28/2017
Last updated
12/02/2025
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