Kristopher Bryan Peterson in Hermiston - Internist

Kristopher Bryan Peterson - NPI 1790810844

Kristopher Bryan Peterson is a Internist in Hermiston, Oregon. Kristopher Bryan Peterson practices all healthcare services and medical treatments related to Internist. The NPI Number for Kristopher Bryan Peterson is 1790810844. The last update date is 2007-07-08.

Kristopher Bryan Peterson's current location address is 1002 W Elm Ave, Hermiston, Oregon. You can contact this provider via phone number 5415676277 and fax number 5415679055. The mailing address for Kristopher Bryan Peterson is 1002 W Elm Ave, Hermiston, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Kristopher Bryan Peterson
Address 1002 W Elm Ave, Hermiston, Oregon
Phone Number 5415676277
Fax Number 5415679055
Sole Proprietor Y
Credentials D.C.

NPI Number Detail

NPI Number 1790810844
Provider Enumeration Date 2007-02-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1002 W Elm Ave
City Hermiston
State Oregon (OR)
Post Code 978382711
Phone Number 5415676277
Fax Number 5415679055

Provider's Primary Taxonomy Detail

Speciality Internist
Taxonomy 111Ni0900X
Licence No 1525
Definition:
The chiropractic internist may serve as a primary care physician or may see patients referred from other providers for evaluation and co-management. Evaluation is focused on the early detection of functional, nutritional, and pathological disorders.

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FAQs about Kristopher Bryan Peterson

What is the unique identification code assigned to Kristopher Bryan Peterson by the Centers for Medicare & Medicaid Services?

The Kristopher Bryan Peterson has been issued the NPI (National Provider Identifier) 1790810844. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Kristopher Bryan Peterson's facilities are situated?

The facilities of Kristopher Bryan Peterson are physically located at the following address: 1002 W Elm Ave, Hermiston, OR, 978382711.

What is the Kristopher Bryan Peterson's specialty and taxonomy code?

The Kristopher Bryan Peterson's specialty is Internist, and the corresponding taxonomy code is 111Ni0900X.

When did Kristopher Bryan Peterson receive its 1790810844 assignment?

The Kristopher Bryan Peterson was assigned its 1790810844 on 2007-02-22, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Kristopher Bryan Peterson most recently updated or revised?

The details related to Kristopher Bryan Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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