JOHNATHAN L. PETERSON

SAN ANTONIO, TX
NPI1568538742
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA05099)
Enumeration Date2006-11-28
Last Update Date2025-02-06
Business Address
JOHNATHAN L. PETERSON PA-C
204 E FAIR OAKS PL
SAN ANTONIO, TX 78209-3811
Phone number: 210-315-4601
Mailing Address
JOHNATHAN L. PETERSON PA-C
204 E FAIR OAKS PL
SAN ANTONIO, TX 78209-3811
Phone number: 210-315-4601
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