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Jack Peterson, M. D
NPI 1700019619 · on the registry since 2009 · sole proprietor
Practice
- Address
- 613 Carmenere Dr
Kenner, LA 70065 - Phone
- (504) 466-4575
Registry record
- Primary taxonomy
- Internal Medicine Physician
207R00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-08-25
- Status
- Not present in the most recent federal file
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 Louisiana