Individual provider · Type 1 NPI

Ralph G. Peterson, PA

Surgical Physician Assistant · Eugene, OR

NPI number 1770511008 Active

Practice location

1410 Oak St, Suite 200
Eugene, OR 97401-4604

Fax (541) 485-2358

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA00258 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1770511008

Ralph G. Peterson, PA's National Provider Identifier is 1770511008, issued on Jun 28, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Eugene, OR. The record was last updated on Mar 12, 2013.