DR. John Roger Petersen, PH.D. is a clinical laboratory director and non-physician pathology in Galveston, TX. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. DR. John Roger Petersen, PH.D. NPI is 1841587854. 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:
301 UNIVERSITY BLVD
GALVESTON, TX
ZIP 77555-551
Phone: (409) 772-1350
Fax: (409) 772-9231
The enumeration date for this NPI number is 6/29/2011 and was last updated on 6/29/2011.