| NPI | 1548304108 |
|---|---|
| Other Name | DON J PETERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: WA MD00048214) |
| Additional Taxonomies | 208600000X Surgery (Licence: OK 26159) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-07-05 |