Individual
LAURA JEAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
950 E BOGARD RD, STE 233, WASILLA, AK 99654-7184
(907) 357-4543
(907) 357-4533
Mailing address
950 E BOGARD RD, STE 233, WASILLA, AK 99654-7184
(907) 357-4543
(907) 357-4533
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6445
AK
Other
Enumeration date
10/17/2005
Last updated
11/20/2008
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