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BRENT P PETERSON DO

Individual Provider (NPI-1) Active

Neurological Surgery

Provider Information

NPI Number
1427080894
Provider Type
Individual Provider (NPI-1)
Credentials
DO
Status
Active

Contact & Location

Address
3336 N. FUTRALL DRIVE, FAYETTEVILLE, AR, 72703
Phone
(479) 463-3000
Fax
(479) 463-3050

Specialties & Taxonomies

Neurological Surgery License: MO #2003013356
Neurological Surgery Primary License: AR #E-11020

All Addresses

LOCATION

3336 N. FUTRALL DRIVE

FAYETTEVILLE, AR, 72703

(479) 463-3000

MAILING

PO BOX 550

LOWELL, AR, 727450550

(479) 463-7775