Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALD DUDLEY PETERSON, DPM
Active Sole ProprietorDR. GERALD DUDLEY PETERSON, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in WEST LINN, Oregon. NPI 1316983513 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · WEST LINN, OR
Registration Details
- NPI Number
- 1316983513
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 22, 2006 (20.116355229098 yrs)
- Last Updated
- Aug 29, 2011
- License
-
118 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1880 WILLAMETTE FALLS DRSUITE 111WEST LINN, OR, 970684652Browse OR providers · Browse ZIP 97068
- Phone
- 5036571900
- Fax
- 5036577744
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in WEST LINN, OR
| Name | Credential | NPI |
|---|---|---|
| DR. JASON A. KEELER | DPM | 1821431727 |
| DR. HEATHER KEELER | D.P.M | 1659774792 |
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.