PHILLIP ROBERT PETERSON — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, PA)
PHILLIP ROBERT PETERSON — Medicare Enrolled Provider (PRACTITIONER - EMERGENCY MEDICINE, PA) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: PHILLIP ROBERT PETERSON; Type: Individual; NPI: 1003137613.
| Name | PHILLIP ROBERT PETERSON |
|---|---|
| Type | Individual |
| NPI | 1003137613 |
| Provider type | PRACTITIONER - EMERGENCY MEDICINE |
| State | PA |
| Enrollment ID | I20130628000495 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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