Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DALE EDMUND PETERSEN JR., CP
ActiveDALE EDMUND PETERSEN JR., CP is a Pulmonary Function Technologist healthcare provider located in MARIANNA, Florida. NPI 1184827693 is currently active in the NPPES registry. Verify at CMS.
Pulmonary Function Technologist · MARIANNA, FL
Registration Details
- NPI Number
- 1184827693
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 11, 2007 (19.184935192198 yrs)
- Last Updated
- Mar 28, 2008
- License
-
PRO66 (FL)
Practice Information
- Address
-
4299 3RD AVEMARIANNA, FL, 324462136Browse FL providers · Browse ZIP 32446
- Phone
- 8505260063
- Fax
- 8505261317
- Primary Specialty
-
Pulmonary Function Technologist
224P00000X
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.