Joseph Roger Peterson in Boerne - Dermatology
Joseph Roger Peterson - NPI 1679561070
Joseph Roger Peterson is a Dermatology in Boerne, Texas. Joseph Roger Peterson practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Joseph Roger Peterson is 1679561070. The last update date is 2007-11-15.
Joseph Roger Peterson's current location address is 1414 E Blanco Rd, Boerne, Texas. You can contact this provider via phone number 8302496321 and fax number 8302497138. The mailing address for Joseph Roger Peterson is 1414 E Blanco Rd, Boerne, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Roger Peterson |
|---|---|
| Address | 1414 E Blanco Rd, Boerne, Texas |
| Phone Number | 8302496321 |
| Fax Number | 8302497138 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1679561070 |
|---|---|
| Provider Enumeration Date | 2005-10-10 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 1414 E Blanco Rd |
|---|---|
| City | Boerne |
| State | Texas (TX) |
| Post Code | 780061834 |
| Phone Number | 8302496321 |
| Fax Number | 8302497138 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | L5092 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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What is the unique 10-digit identifier code assigned to Joseph Roger Peterson by the Centers for Medicare & Medicaid Services?
The Joseph Roger Peterson has been issued the NPI (National Provider Identifier) 1679561070 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Joseph Roger Peterson?
The Joseph Roger Peterson is situated at 1414 E Blanco Rd, in the city of Boerne, state of TX, with the zip code 780061834.
What is Joseph Roger Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joseph Roger Peterson is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Joseph Roger Peterson receive its 1679561070 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Roger Peterson was assigned its 1679561070 by the Centers for Medicare & Medicaid Services on 2005-10-10.
When was the information related to Joseph Roger Peterson most recently updated or refreshed?
The details pertaining to the Joseph Roger Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-15.
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