RUSSELL SCOTT PETERSEN

HOUSTON, TX
NPI1073206439
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-05-31
Last Update Date2023-05-31
Business Address
Dr. RUSSELL SCOTT PETERSEN DO
2630 BISSONNET ST APT 2405
HOUSTON, TX 77005-2373
Phone number: 801-588-9525
Mailing Address
Dr. RUSSELL SCOTT PETERSEN DO
6431 FANNIN ST STE JJL 310
HOUSTON, TX 77030-1501
Phone number: 801-588-9525
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