Brian Douglas Petersen
Brian Douglas Petersen is an Athletic Trainer in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
6001 Dodge StOmaha, NE 68182-1102
Phone: (402) 554-2800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X |
|---|
Record details
| NPI number | 1972141661 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 13, 2019 |
| Last updated in NPPES | December 13, 2019 |
| Certification date | December 13, 2019 |
| Mailing address | 2215 Thomas Dr, Waterloo, NE 68069-4217 |
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