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Jack Peterson, D.O
NPI 1790717163 · on the registry since 2006
Practice
- Address
- 180 N Franklin St Ste B
Cochranton, PA 16314 - Phone
- (814) 424-1126
- Fax
- (814) 251-1568
- Organisation at this address
- Mmc Pharmacy Inc
Mmc Pharmacy Inc
Northwest Pharmacy Solutions Llc
Anderson Physical Therapy Etc Pc
Northwest Pharmacy Solutions LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-07-06
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 Pennsylvania