MR. RICHARD KENNETH PETERSON M.D. NPI 1508858861

NPI Information

MR. Richard Kenneth Peterson, M.D. is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Richard Kenneth Peterson, M.D. NPI is 1508858861. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2627 RIVERSIDE AVE
JACKSONVILLE, FL
ZIP 32204-712
Phone: (904) 308-7372
Fax: (904) 308-2998

The enumeration date for this NPI number is 8/22/2005 and was last updated on 11/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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