NPI 1023251840
Judy Jones Petersen, DO
Practice location
- Address
- 600 Morris St Suite 103, Charleston, WV 25301-1409
- Phone
- (304) 388-7040
- Fax
- (304) 388-7041
- Mailing address
- 415 Morris St Suite 304, Charleston, WV 25301-1842
Registered specialties (2)
Family Medicine Physician
Primary
Student in an Organized Health Care Education/Training Program
Registry record
- NPI
- 1023251840
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Apr 2009
- Record last updated
- 6 Sep 2012
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.