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NPI Profile for JOHN T PETERSON in KINGWOOD, WV.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical-Surgical |
163WM0705X |
| NPI # | 1487689139 |
|
| Status | Active | |
| Credentials | C.R.N.A. | |
| Entity | Individual | |
| Enumeration date | 07/11/2006 | |
| Last updated | 04/27/2017 - About 9 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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JOHN T PETERSON
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JOHN T PETERSON, C.R.N.A.