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1194742718
DAVID R PETERSON
SPRINGFIELD, IL
NPI
1194742718
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: IL 036107652)
Enumeration Date
2006-07-17
Last Update Date
2019-12-06
Business Address
DAVID R PETERSON M.D.
800 E CARPENTER ST
SPRINGFIELD, IL 62769-0002
Phone number: 217-544-6464
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Mailing Address
DAVID R PETERSON M.D.
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698
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