| Peterson Functional Medicine | |
|
1860 Old State Rd Venus PA 16364-2316 | |
| (814) 673-3830 | |
| Not Available |
| Full Name | Peterson Functional Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1860 Old State Rd, Venus, Pennsylvania |
| Authorized Official Name and Position | Jennifer Lynn Peterson (OWNER) |
| Authorized Official Contact | 8146733830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peterson Functional Medicine 1860 Old State Rd Venus PA 16364-2316 Ph: (814) 673-3830 | Peterson Functional Medicine 1860 Old State Rd Venus PA 16364-2316 Ph: (814) 673-3830 |
| NPI Number | 1689484420 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 01/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689484420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |