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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TERRY A PETERSON, PA-C

Active

TERRY A PETERSON, PA-C is a Physician Assistant healthcare provider located in FARGO, North Dakota. NPI 1093733693 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · FARGO, ND

Registration Details

NPI Number
1093733693
Provider Type
Individual
Gender
Male
NPI Issued
Jul 18, 2006 (20.084449660713 yrs)
Last Updated
Apr 18, 2016
Licenses
9599 (MN)
PAC0208 (ND)
PAC0208 (ND)

Practice Information

Address
2601 BROADWAY N
FARGO, ND, 581026704
Browse ND providers · Browse ZIP 58102
Phone
7012342900
Fax
7012342996
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Medical Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in FARGO, ND

Name Credential NPI
JAY R METZGER PA 1437153905
KARLA MAY HENNEQUIN PAC 1841274248
MR. ERIC L HARRY PAC 1861478745
MR. JAMES ALAN BERGLUND PA-C 1194784918
DAWN L DEAL-DAHLE PA-C 1518922475
BARBARA J HAMPLE PA-C 1497706725
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.