Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JACK T PETERSON JR., MD
Active Sole ProprietorDR. JACK T PETERSON JR., MD is a Specialist healthcare provider located in TOPEKA, Kansas. NPI 1508860487 is currently active in the NPPES registry. Verify at CMS.
Specialist · TOPEKA, KS
Registration Details
- NPI Number
- 1508860487
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 9, 2005 (21.15958949692 yrs)
- Last Updated
- Apr 24, 2012
- License
-
0422259 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
631 SW HORNE STSTE 400TOPEKA, KS, 666061661Browse KS providers · Browse ZIP 66606
- Phone
- 7852349000
- Fax
- 7852349119
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in TOPEKA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. ERNEST D. KOVARIK | M.D. | 1801838396 |
| CHERYL L FOSTER | O.T. | 1689782278 |
| MICHELE A BUFFKIN | P.T | 1902914500 |
| JULIE J MCGIVERN | R.P.T | 1841395431 |
| MS. KELLIE RENAE JOHNSON | PTA | 1750632089 |
| TONYA KAY MCDANIEL | CPTA | 1760820757 |
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.