Individual provider · Type 1 NPI

Paul D. Peterson, PA

Medical Physician Assistant · Killeen, TX

NPI number 1861494486 Active

Practice location

2207 S Clear Creek Rd, Ste 304
Killeen, TX 76549-4132

Call (254) 526-2085 Map

Fax (254) 526-9569

Mailing address

PO Box 4189, Austin Heart
Austin, TX 78765-4189

Specialties and licenses

TaxonomyCodeLicense
Cardiovascular Disease Physician 207RC0000XPA01398 (TX)
Medical Physician Assistant Primary 363AM0700XPA01398 (TX)

Medical Physician Assistant: Definition to come...

12 other providers at this address

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About NPI 1861494486

Paul D. Peterson, PA's National Provider Identifier is 1861494486, issued on Aug 12, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Killeen, TX. The record was last updated on Oct 24, 2007.