Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK A PETERSON, D.O.
ActiveJACK A PETERSON, D.O. is a Family Medicine healthcare provider located in COCHRANTON, Pennsylvania. NPI 1790717163 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · COCHRANTON, PA
Registration Details
- NPI Number
- 1790717163
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 7, 2006 (20.11777816987 yrs)
- Last Updated
- Jul 6, 2021
- License
-
OS008804L (PA)
Practice Information
- Address
-
180 N FRANKLIN ST STE BCOCHRANTON, PA, 163149706Browse PA providers · Browse ZIP 16314
- Phone
- 8144241126
- Fax
- 8142511568
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in COCHRANTON, PA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM SCOTT WOLFE | M.D. | 1831113265 |
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.