JOHN J PETERSEN

MEDFORD, OR
NPI1164580429
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OR  PA00228)
Enumeration Date2006-12-05
Last Update Date2013-01-16
Business Address
-- JOHN J PETERSEN PA
520 MEDICAL CENTER DR SUITE 201
MEDFORD, OR 97504-4334
Phone number: 541-789-5710
Mailing Address
-- JOHN J PETERSEN PA
2620 E BARNETT RD SUITE H
MEDFORD, OR 97504-8344
Phone number: 541-789-5250
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