Individual
HUBERT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1436 N WESTERN AVE, LIBERAL, KS 67901-2212
(620) 626-8500
Mailing address
PO BOX 1258, LIBERAL, KS 67905-1258
(620) 626-8500
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
04-22995
KS
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
04-22995
KS
Other
Enumeration date
01/28/2006
Last updated
09/11/2025
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