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1003980053
MARK STEVEN PETERSON
SALEM, OR
NPI
1003980053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: OR MD16135)
Enumeration Date
2006-11-20
Last Update Date
2020-10-07
Business Address
MARK STEVEN PETERSON MD
925 COMMERCIAL ST SE STE 102
SALEM, OR 97302-4173
Phone number: 503-561-7227
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Mailing Address
MARK STEVEN PETERSON MD
925 COMMERCIAL ST SE STE 102
SALEM, OR 97302-4173
Phone number: 503-561-7227
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