Whalio Doctors

NPI 1427080894

Brent P Peterson, DO

Practitioner Neurological Surgery Physician Fayetteville, AR

Practice location

Address
3336 N. Futrall Drive, Fayetteville, AR 72703
Phone
(479) 463-3000
Fax
(479) 463-3050
Mailing address
PO Box 550, Lowell, AR 72745-0550

Registered specialties (2)

Neurological Surgery Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence E-11020 (AR)
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X Licence 2003013356 (MO)

Registry record

NPI
1427080894
Entity type
Individual
Sex (as registered)
Male
NPI issued
7 Jul 2006
Record last updated
10 Jan 2019

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.