Individual provider · Type 1 NPI

Jack T. Peterson Jr., MD

Specialist · Topeka, KS

NPI number 1508860487 Active

Practice location

631 SW Horne St, Ste 400
Topeka, KS 66606-1661

Call (785) 234-9000 Map

Fax (785) 234-9119

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X0422259 (KS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1508860487

Jack T. Peterson Jr., MD's National Provider Identifier is 1508860487, issued on Jun 9, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Topeka, KS. The record was last updated on Apr 24, 2012.