Matthew D. Petersen, S.T. Valid NPI
Individual provider · Surgical Technologist · Omaha, NE
- NPI
- 1477607083
- Type
- Individual (Type 1)
- Primary specialty
- Surgical Technologist (Specialist/Technologist, Other)
- Specialty group
- Technologists, Technicians & Other Technical Service Providers
- Taxonomy code
- 246ZS0410X
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-01-22
- Last updated
- 2007-07-08
Practice location
11704 W Center Rd Ste 200
Omaha, NE 68144-4327
(402) 691-0500