Individual provider · Type 1 NPI
Kendall Peterson, P.A.-C
Surgical Physician Assistant · Dallas, TX
NPI number
1265890057
Active
Practice location
7777 Forest Ln Ste B107
Dallas, TX 75230-6888
Fax (972) 566-7313
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | None listed |
Surgical Physician Assistant: Definition to come...
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About NPI 1265890057
Kendall Peterson, P.A.-C's National Provider Identifier is 1265890057, issued on Feb 8, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Dallas, TX. The record was last updated on Feb 8, 2016.