Steve Leroy Peterson in Johnson City - Otolaryngology/facial Plastic Surgery
Steve Leroy Peterson - NPI 1306849500
Steve Leroy Peterson is a Otolaryngology/facial Plastic Surgery in Johnson City, Tennessee. Steve Leroy Peterson practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Steve Leroy Peterson is 1306849500. The last update date is 2014-11-05.
Steve Leroy Peterson's current location address is 1009 North State Of Franklin Access Road, Johnson City, Tennessee. You can contact this provider via phone number 4239297546 and fax number 4239297968. The mailing address for Steve Leroy Peterson is 1009 North State Of Franklin Access Road, Johnson City, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Steve Leroy Peterson |
|---|---|
| Address | 1009 North State Of Franklin Access Road, Johnson City, Tennessee |
| Phone Number | 4239297546 |
| Fax Number | 4239297968 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1306849500 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2014-11-05 |
Provider Mailing Address Detail
| Address | 1009 North State Of Franklin Access Road |
|---|---|
| City | Johnson City |
| State | Tennessee (TN) |
| Post Code | 376040 |
| Phone Number | 4239297546 |
| Fax Number | 4239297968 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 39354 |
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Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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What is the unique 10-digit identification code issued to Steve Leroy Peterson by the Centers for Medicare & Medicaid Services?
The Steve Leroy Peterson has been assigned the NPI (National Provider Identifier) 1306849500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Steve Leroy Peterson's facilities are geographically located?
The facilities of Steve Leroy Peterson are physically situated at the following location: 1009 North State Of Franklin Access Road, Johnson City, TN, 376040.
What is Steve Leroy Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Steve Leroy Peterson is Otolaryngology/facial Plastic Surgery, and the taxonomy code that classifies this field of practice is 207Yx0905X.
When was the Steve Leroy Peterson's 1306849500 issued?
The Steve Leroy Peterson's 1306849500 was issued on 2005-05-23.
When was the Steve Leroy Peterson's information last updated?
The Steve Leroy Peterson's information was last updated on 2014-11-05.