STACY L PETERSON

WICHITA, KS
NPI1316030638
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: KS  0419242)
Enumeration Date2006-09-30
Last Update Date2007-07-08
Business Address
Dr. STACY L PETERSON m.d.
818 N EMPORIA ST SUITE 305
WICHITA, KS 67214-3729
Phone number: 316-265-1441
Mailing Address
Dr. STACY L PETERSON m.d.
818 N EMPORIA ST SUITE 305
WICHITA, KS 67214-3729
Phone number: 316-265-1441
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