Individual provider · Type 1 NPI

Courtney Alyssa Peterson, DO

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1114778438 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 655-2000 Map

Mailing address

4101 W Hollow Creek Dr
Peoria, IL 61615-5629

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1114778438

Courtney Alyssa Peterson, DO's National Provider Identifier is 1114778438, issued on Mar 27, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Mar 27, 2024.