Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMUEL NOLAN PETERSON, AU.D.
ActiveDR. SAMUEL NOLAN PETERSON, AU.D. is a Audiologist healthcare provider located in GRANTS PASS, Oregon. NPI 1720332968 is currently active in the NPPES registry. Verify at CMS.
Audiologist · GRANTS PASS, OR
Registration Details
- NPI Number
- 1720332968
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 8, 2012 (13.730122450569 yrs)
- Last Updated
- Nov 8, 2012
- License
-
23642 (OR)
Practice Information
- Address
-
1867 WILLIAMS HWYSTE. 105GRANTS PASS, OR, 975275854Browse OR providers · Browse ZIP 97527
- Phone
- 5414744694
- Fax
- 5414749590
- Primary Specialty
-
Audiologist
231H00000X
Other Audiologist Providers in GRANTS PASS, OR
| Name | Credential | NPI |
|---|---|---|
| MR. CARL STACEY BERG | MASTER OF SCIENCE MS | 1063454114 |
| MR. CARL JEFFREY BERG | AU.D. | 1396876314 |
| CRAIG BERG | AU.D | 1659763639 |
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.