NPI 1013667450

Phillip Michael Peterman, MD

Practitioner Student in an Organized Health Care Education/Training Program Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-1000
Mailing address: 3030 Dunvale Rd APT 12305, Houston, TX 77063-4539

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Mississippi →

Registry record

NPI: 1013667450
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Mar 2022
Record last updated: 28 Mar 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.