Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. STACY L PETERSON, M.D.
Active Sole ProprietorDR. STACY L PETERSON, M.D. is a Plastic and Reconstructive Surgery healthcare provider located in WICHITA, Kansas. NPI 1316030638 is currently active in the NPPES registry. Verify at CMS.
Plastic and Reconstructive Surgery · WICHITA, KS
Registration Details
- NPI Number
- 1316030638
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 30, 2006 (19.88113252759 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0419242 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
818 N EMPORIA STSUITE 305WICHITA, KS, 672143729Browse KS providers · Browse ZIP 67214
- Phone
- 3162651441
- Fax
- 3162651685
- Primary Specialty
-
Plastic and Reconstructive Surgery
2086S0122X
Other Plastic and Reconstructive Surgery Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH T POGGI | MD | 1760478713 |
| DR. BRUCE G. FERRIS | M.D. | 1255380366 |
| DR. MATTHEW HARRIS CONRAD | M.D. | 1700831294 |
| MITCHELL FLURRY | M.D. | 1528225166 |
| DR. ANDREW R BERRY | MD | 1700265741 |
| MATTHEW RYAN LOUIS | MD | 1871098467 |
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.