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Wylan Peterson, M.D

NPI 1659395523 · on the registry since 2006

Practice

Address: 3551 Roger Brooke Dr
Att'N Ms. Shawana Judge
Fort Sam Houston, TX 78234
Phone: (210) 916-1064
Organisation at this address: Ncng
Amc Bamc-Fsh
Dr. Angela Sallie, Pllc
Brooke Army Medical Center
Brooke Army Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 1,479

Additional practice sites

600 Elizabeth St, Corpus Christi, TX
4310 James Casey St Ste 3c, Austin, TX

Registry record

Primary taxonomy: 2086S0102X
2086S0102X
Also registered as: 207RC0200X
208600000X
208600000X
Licence states on file: TX, OH
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2024-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas