IndividualActive
Adam Petersen, AA
NPI 1518216613 · Anesthesiologist Assistant · Springfield, MO
Provider details
- NPI number
- 1518216613
- Entity type
- Individual
- Primary specialty
- Anesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AA
- Sex
- Male
- Sole proprietor
- No
- License
- 2012015563 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3801 S. National
Springfield, MO 65807
Phone: (417) 269-6000
Approximate (ZIP-level) locationGet directions
Mailing address
1000 E. Primrose Suite 520
Springfield, MO 65807
Registry dates
- Enumerated
- 2012-09-05
- Last updated
- 2012-09-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.