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JUDITH R. PETERSON, M.D., P.C.

Physicians Physical Medicine & Rehabilitation

Provider NPI: 1497952162

Organization Information:
Organization Name:  JUDITH R. PETERSON, M.D., P.C.
Authorized Official:  JUDITH R. PETERSON  PHYSICIAN  160-536-13945

Practice Location:
5023 S BUR OAK PL  SIOUX FALLS, SD 57108-2228 US
Tel: 160-536-1394  Fax: 160-536-1212

Business Mailing Address:
5023 S BUR OAK PL  SIOUX FALLS, SD 57108-2228 US
Tel: 160-536-1394  Fax: 160-536-1212

NPI Information:
NPI: 1497952162
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208100000XPhysicians
Physical Medicine & Rehabilitation
SD5238

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 208100000X

Type:

Classification:



Definition:



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