Roger Leslie Petersen (NPI# 1679515787, PAC ID# 5294843181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1679515787 |
| PAC ID by PECOS | 5294843181 |
| Professional Enrollment ID | I20120209000418 |
| Full Name | Roger Leslie Petersen |
| Address |
1817 N Main St Higginsville MO 64037-1524 |
| Phone Number | 6605842956 |
| Gender | M |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1975 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1817 N Main St, Higginsville, MO 64037-1524 | 6605842956 |
| Street Address |
1817 N MAIN ST |
| City | HIGGINSVILLE |
| State | MO |
| Zip | 64037-1524 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Natalie M Avery | Nurse Practitioner | Western Missouri Medical Center | 1200 W 22nd St, Family Practice of Central Missouri, Higginsville, MO 64037-1420 |
| Jayne R Brockhaus | Family Medicine | Western Missouri Medical Center | 1200 W 22nd St, Family Practice of Central Missouri, Higginsville, MO 64037-1420 |
| Haley E Maxon | Nurse Practitioner | Western Missouri Medical Center | 1200 W 22nd St, Family Practice of Central Missouri, Higginsville, MO 64037-1420 |
| Jason Christopher Snowden | Family Medicine | Western Missouri Medical Center | 1200 W 22nd St, Family Practice of Central Missouri, Higginsville, MO 64037-1420 |
| Rick D Grayson | Podiatry | Foot and Ankle Specialists of Western Missouri LLC | 12 W 19th St, Higginsville, MO 64037-1507 |
| Lindsay Ann Lawrence | Physical Therapy | Serc Rehabilitation Partners LLC | 720 Fairground Ave, Higginsville, MO 64037-1638 |
| Rodney Lance Mccaslin | Physical Therapy | Serc Rehabilitation Partners LLC | 720 Fairground Ave, Higginsville, MO 64037-1638 |
| Matthew D Rhadans | Family Medicine | Midwest Division-lrhc LLC | 3401 Pine St, Higginsville, MO 64037-1877 |
| Arthur M Weisman | Podiatry | Midwest Division-lrhc LLC | 3401 Pine St, Higginsville, MO 64037-1877 |
| Tanja K Findley | Nurse Practitioner | Midwest Division-lrhc LLC | 3401 Pine St, Higginsville, MO 64037-1877 |
| Find all physicians in zip 64037 | |||
| City | HIGGINSVILLE |
| Zip Code | 64037 |
| Specialty | OPTOMETRY |
| City + Specialty | HIGGINSVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Roger Leslie Petersen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.