Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN J PETERSEN, PA
ActiveSurgical Physician Assistant · MEDFORD, OR
Registration Details
- NPI Number
- 1164580429
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 5, 2006 (19.376344479242 yrs)
- Last Updated
- Jan 16, 2013
- License
-
PA00228 (OR)
Practice Information
- Address
-
520 MEDICAL CENTER DRSUITE 201MEDFORD, OR, 975044334Browse OR providers · Browse ZIP 97504
- Phone
- 5417895710
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| MICHAEL DANIEL BARKER | PAC | 1083602171 |
| JOSE JAMES PARKER | PA C | 1457301731 |
| ROBERT DAVID DORSHORST | PA | 1932147162 |
| SORIN BILAUCA | PAC | 1184660748 |
| JEFFERY KOLK HERBERT | P.A. | 1174604359 |
| ROBERT D LOVE | PA | 1902964265 |
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.