Dana M Petersen is a Specialist in Olympia, Washington. Dana M Petersen practices all healthcare services and medical treatments related to Specialist. The NPI Number for Dana M Petersen is 1912974155. The last update date is 2014-02-03.
Dana M Petersen's current location address is 3434 12th Ave Ne, Olympia, Washington. You can contact this provider via phone number 3604138470 and fax number 3604138490. The mailing address for Dana M Petersen is 3434 12th Ave Ne, Olympia, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dana M Petersen |
|---|---|
| Address | 3434 12th Ave Ne, Olympia, Washington |
| Phone Number | 3604138470 |
| Fax Number | 3604138490 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1912974155 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2014-02-03 |
Provider Mailing Address Detail
| Address | 3434 12th Ave Ne |
|---|---|
| City | Olympia |
| State | Washington (WA) |
| Post Code | 98506 |
| Phone Number | 3604138470 |
| Fax Number | 3604138490 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MD00019243 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8422909 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Dana M Petersen by the Centers for Medicare & Medicaid Services?
The Dana M Petersen has been assigned the NPI (National Provider Identifier) 1912974155. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Dana M Petersen's physical address?
The Dana M Petersen is physically located at 3434 12Th Ave Ne, in the city of Olympia, WA, with the postal code 98506.
What is Dana M Petersen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Dana M Petersen's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
On what date did the Dana M Petersen receive its 1912974155 assignment from the Centers for Medicare & Medicaid Services?
The Dana M Petersen was assigned its 1912974155 by the Centers for Medicare & Medicaid Services on 2006-03-07.
When was the Dana M Petersen's information last updated?
The Dana M Petersen's information was last updated on 2014-02-03.
NPI Number: 1972506228
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