Stacy L Peterson in Wichita - Plastic And Reconstructive Surgery
Stacy L Peterson - NPI 1316030638
Stacy L Peterson is a Plastic And Reconstructive Surgery in Wichita, Kansas. Stacy L Peterson practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Stacy L Peterson is 1316030638. The last update date is 2007-07-08.
Stacy L Peterson's current location address is 818 N Emporia St, Wichita, Kansas. You can contact this provider via phone number 3162651441 and fax number 3162651685. The mailing address for Stacy L Peterson is 818 N Emporia St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Stacy L Peterson |
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Address | 818 N Emporia St, Wichita, Kansas |
Phone Number | 3162651441 |
Fax Number | 3162651685 |
Sole Proprietor | Y |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1316030638 |
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Provider Enumeration Date | 2006-09-30 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 818 N Emporia St |
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City | Wichita |
State | Kansas (KS) |
Post Code | 672143729 |
Phone Number | 3162651441 |
Fax Number | 3162651685 |
Provider's Primary Taxonomy Detail
Speciality | Plastic And Reconstructive Surgery |
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Taxonomy | 2086S0122X |
Licence No | 419242 |
Definition: A surgeon who specializes in plastic and reconstructive surgery. |
Post Comment/ Review Below
What is the Stacy L Peterson's 1316030638?
The Stacy L Peterson's NPI (National Provider Identifier) Number is 1316030638. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Stacy L Peterson located?
The Stacy L Peterson is located at 818 N Emporia St, Wichita, KS 672143729.
What is Stacy L Peterson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Stacy L Peterson is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.
On what date did the Centers for Medicare & Medicaid Services assign the 1316030638 to Stacy L Peterson?
The Centers for Medicare & Medicaid Services assigned the 1316030638 to Stacy L Peterson on 2006-09-30.
When was the information regarding Stacy L Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Stacy L Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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