Randolph E Peterson in Ontario - Orthopaedic Surgery

Randolph E Peterson - NPI 1679752802

Randolph E Peterson is a Orthopaedic Surgery in Ontario, Oregon. Randolph E Peterson practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Randolph E Peterson is 1679752802. The last update date is 2007-10-24.

Randolph E Peterson's current location address is Po Box 1460, Ontario, Oregon. You can contact this provider via phone number 5418892899. The mailing address for Randolph E Peterson is Po Box 1460, Ontario, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Organization Randolph E Peterson
Address Po Box 1460, Ontario, Oregon
Phone Number 5418892899
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MANAGER
Authorized Official Name Peterson Leslie
Telephone Number 5418892899

NPI Number Detail

NPI Number 1679752802
Provider Enumeration Date 2007-10-24
Last Updated Date 2007-10-24

Provider Mailing Address Detail

Address Po Box 1460
City Ontario
State Oregon (OR)
Post Code 979141066
Phone Number 5418892899
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthopaedic Surgery
Taxonomy 207X00000X
Licence No 19969
Definition:
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
135827 OR --

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FAQs about Randolph E Peterson

What is the unique 10-digit identification code assigned to Randolph E Peterson by the Centers for Medicare & Medicaid Services?

The Randolph E Peterson has been issued the NPI (National Provider Identifier) 1679752802, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Randolph E Peterson is geographically located?

The Randolph E Peterson is physically situated at the following location: Po Box 1460, Ontario, OR, 979141066.

What is Randolph E Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Randolph E Peterson is Orthopaedic Surgery, and the taxonomy code that categorizes this field of expertise is 207X00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1679752802 to Randolph E Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1679752802 to Randolph E Peterson on 2007-10-24.

When was the information pertaining to Randolph E Peterson most recently updated or revised?

The details related to Randolph E Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-24.

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