Robert T Petersen


Address: 3408 Milton Ave, Dallas, TX 75205-1338

Robert T Petersen (NPI# 1811917172, PAC ID# 6406930759) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.

Physician Overview

Nation Provider ID (NPI) 1811917172
PAC ID by PECOS 6406930759
Professional Enrollment ID I20080225000633
Full Name Robert T Petersen
Address 3408 Milton Ave
Dallas
TX 75205-1338
Gender M
Graduation Year 2002
Primary Specialty CHIROPRACTIC
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
3408 Milton Ave, Dallas, TX 75205-1338

Organization Information

Office Location

Street Address 3408 MILTON AVE
City DALLAS
State TX
Zip 75205-1338

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Competitor

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City DALLAS
Zip Code 75205
Specialty CHIROPRACTIC
City + Specialty DALLAS + CHIROPRACTIC

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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