Craig A Peterson in Springfield - Ophthalmology

Craig A Peterson - NPI 1396888640

Craig A Peterson is a Ophthalmology in Springfield, Missouri. Craig A Peterson practices all healthcare services and medical treatments related to Ophthalmology. The NPI Number for Craig A Peterson is 1396888640. The last update date is 2011-10-18.

Craig A Peterson's current location address is Po Box 2580, Springfield, Missouri. You can contact this provider via phone number 4178294620 and fax number 4178294316. The mailing address for Craig A Peterson is Po Box 2580, Springfield, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Craig A Peterson
Address Po Box 2580, Springfield, Missouri
Phone Number 4178294620
Fax Number 4178294316
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1396888640
Provider Enumeration Date 2007-02-15
Last Updated Date 2011-10-18

Provider Mailing Address Detail

Address Po Box 2580
City Springfield
State Missouri (MO)
Post Code 658012580
Phone Number 4178294620
Fax Number 4178294316

Provider's Primary Taxonomy Detail

Speciality Ophthalmology
Taxonomy 207W00000X
Licence No R7E36
Definition:
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This incl

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
202118733 MO --
81582 AR ARK BLUE SHIELD
22698 MO MO BLUE SHIELD
111851001 AR --

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FAQs about Craig A Peterson

What is the unique 10-digit identifier code assigned to Craig A Peterson by the Centers for Medicare & Medicaid Services?

The Craig A Peterson has been issued the NPI (National Provider Identifier) 1396888640 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Craig A Peterson is physically located?

The Craig A Peterson is situated at the following address: Po Box 2580, Springfield, MO 658012580.

What is Craig A Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Craig A Peterson's area of specialization is Ophthalmology, and the corresponding taxonomy code that categorizes this field of practice is 207W00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396888640 to Craig A Peterson?

The Centers for Medicare & Medicaid Services originally issued the 1396888640 to Craig A Peterson on 2007-02-15.

As of what date was the information regarding Craig A Peterson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Craig A Peterson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-10-18.

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