Dr. Russell Scott Petersen JR., DO - Houston, TX

Dr. Russell Scott Petersen JR., DO

Student in an Organized Health Care Education/Training Program in Houston, Texas

NPI 1073206439

Russell Scott Petersen JR. is a Student in an Organized Health Care Education/Training Program based in Houston, TX. Russell Scott Petersen JR. practices in Houston, TX and has the professional credentials of DO. The NPI Number for Russell Scott Petersen JR. is 1073206439 and holds a License No. (Texas).

The current practice location address for Russell Scott Petersen JR. is 2630 Bissonnet St Apt 2405, Houston, TX and can be reached out via phone at 801-588-9525.

Location: 2630 Bissonnet St Apt 2405, Houston, TX, 77030-1501

NPI Number

1073206439

Provider Name

Russell Scott Petersen JR.

Credential

Provider Entity Type

Individual

Gender

Male

Address

2630 Bissonnet St Apt 2405, Houston, TX, 77030-1501

Phone Number

801-588-9525

Fax Number

Provider Enumeration Date

05/31/2023

Last Update Date

03/10/2024

Address

2630 Bissonnet St Apt 2405

City

Houston

State

Texas

Zip

77005-2373

Phone Number

801-588-9525

Fax Number

Address

2630 Bissonnet St Apt 2405

City

Houston

State

Texas

Zip

77005-2373

Phone Number

801-588-9525

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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