Joseph R Peterson
JOSEPH R PETERSON MD PA


Address: 1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834
Phone: 8302496321

Joseph R Peterson (NPI# 1679561070, PAC ID# 9032282371) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.

Physician Overview

Nation Provider ID (NPI) 1679561070
PAC ID by PECOS 9032282371
Professional Enrollment ID I20080721000408
Full Name Joseph R Peterson
Organization Legal Name JOSEPH R PETERSON MD PA
Address 1414 E Blanco Rd
Suite 9
Boerne
TX 78006-1834
Phone Number 8302496321
Gender M
Medical School UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduation Year 1999
Primary Specialty DERMATOLOGY
Group Practice PAC ID 0244303584
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
1414 E Blanco Rd, Suite 9, Boerne, TX 78006-1834 8302496321 JOSEPH R PETERSON MD PA
1414 E Blanco Rd, Boerne, TX 78006-1834 8302496321 JOSEPH R PETERSON MD PA

Organization Information

Organization Legal Name JOSEPH R PETERSON MD PA
Physicians 1

Office Location

Street Address 1414 E BLANCO RD
SUITE 9
City BOERNE
State TX
Zip 78006-1834

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Competitor

Search similar physicians

City BOERNE
Zip Code 78006
Specialty DERMATOLOGY
City + Specialty BOERNE + DERMATOLOGY

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Dataset Information

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.

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