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Individual

DR. ELIZABETH SORRELLS PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
7311 W 132ND ST, SUITE 190, OVERLAND PARK, KS 66213-1118
(913) 217-3279
(502) 508-4660
Mailing address
14012 WINDSOR ST, LEAWOOD, KS 66224-9779
(913) 685-8233

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04-26672
KS
208000000X
Pediatrics Physician
111793
MO

Other

Enumeration date
03/05/2007
Last updated
11/05/2012
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