Whalio Doctors

NPI 1306849500

Steve Leroy Peterson, MD

Practitioner Otolaryngology/Facial Plastic Surgery Physician Johnson City, TN

Practice location

Address
1009 North State of Franklin Access Road, Johnson City, TN 37604
Phone
(423) 929-7546
Fax
(423) 929-7968

Registered specialties (3)

Otolaryngology/Facial Plastic Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 39354 (TN)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 39354 (TN)
MOHS-Micrographic Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207ND0101X Licence 39354 (TN)

Registry record

NPI
1306849500
Entity type
Individual
Sex (as registered)
Male
NPI issued
23 May 2005
Record last updated
5 Nov 2014

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.