Dr. Phillip Robert Peterson
Emergency Physician
One Hospital Drive
Lewisburg
, Pennsylvania 17837-9350
Dr. Phillip Robert Peterson
Emergency Physician
One Hospital Drive
Lewisburg
, Pennsylvania 17837-9350
(570) 768-3911
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About
Features
Specialties
- Emergency Physician
Languages spoken
- English
Location
First Address
- Dr. Phillip Robert Peterson
- One Hospital Drive Suite 306
- Lewisburg, PA
- Zip : 17837-9350
- Fax : (570) 768-3911
- Phone : (570) 522-4110
Second Address
- Dr. Phillip Robert Peterson
- One Hospital Drive
- Lewisburg, PA
- Zip : 17837-9350
- Fax : (570) 522-4740
- Phone : (570) 522-2640
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207P00000X | Emergency Physician | MD447379 | PA |
National Provider Identifier
| NPI | 1003137613 |
|---|---|
| Provider Name | Dr. Phillip Robert Peterson |
| First Address | Lewisburg, PA 17837-9350 |
| Second Address | Lewisburg, PA 17837-9350 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/06/2010 |
| Last Update Date | 21/01/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1028234030003 | (05) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.