Individual
AUDREY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
691 MURPHY RD STE 107, MEDFORD, OR 97504-4311
(541) 789-5121
Mailing address
2825 E BARNETT RD # MSS, MEDFORD, OR 97504-8332
(785) 313-5209
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
02/22/2024
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