Shane Stean Peterson, DO is a student in an organized health care education training program in Hartford, CT. The provider is 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. Shane Stean Peterson, DO NPI is 1609439066. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
80 SEYMOUR ST
HARTFORD, CT
ZIP 06106-315
Phone: (860) 972-2864
Fax: (860) 545-5646
The enumeration date for this NPI number is 4/20/2019 and was last updated on 5/31/2020.