Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEVE LEROY PETERSON, M.D.
ActiveSTEVE LEROY PETERSON, M.D. is a Facial Plastic Surgery healthcare provider located in JOHNSON CITY, Tennessee. NPI 1306849500 is currently active in the NPPES registry. Verify at CMS.
Facial Plastic Surgery · JOHNSON CITY, TN
Registration Details
- NPI Number
- 1306849500
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 23, 2005 (21.038469985291 yrs)
- Last Updated
- Nov 5, 2014
- Licenses
-
39354 (TN)39354 (TN)39354 (TN)
Practice Information
- Address
-
1009 NORTH STATE OF FRANKLIN ACCESS ROADJOHNSON CITY, TN, 37604Browse TN providers · Browse ZIP 37604
- Phone
- 4239297546
- Fax
- 4239297968
- Primary Specialty
-
Facial Plastic Surgery
207YX0905X
- Additional Specialty
- Plastic Surgery within the Head & Neck
- Additional Specialty
- Obesity Medicine
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.