| NPI | 1528344926 |
|---|---|
| Other Name | STEPHANIE S PETERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002414A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant (Licence: MD C04552) | |
| 363A00000X Physician Assistant (Licence: FL PA9116262) | |
| 363A00000X Physician Assistant (Licence: CO PA.0008276) | |
| 363AS0400X Physician Assistant, Surgical (Licence: VA 0110003700) | |
| Enumeration Date | 2011-10-30 |
| Last Update Date | 2023-11-21 |