Dale J Peterson in College Place - Family Medicine

Dale J Peterson - NPI 1912956376

Dale J Peterson is a Family Medicine in College Place, Washington. Dale J Peterson practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Dale J Peterson is 1912956376. The last update date is 2023-10-28.

Dale J Peterson's current location address is 218 Ne A St, College Place, Washington. You can contact this provider via phone number 5095290258. The mailing address for Dale J Peterson is 218 Ne A St, College Place, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale J Peterson
Address 218 Ne A St, College Place, Washington
Phone Number 5095290258
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912956376
Provider Enumeration Date 2006-05-10
Last Updated Date 2023-10-28

Provider Mailing Address Detail

Address 218 Ne A St
City College Place
State Washington (WA)
Post Code 993241114
Phone Number 5095290258
Fax Number

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD00040686
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1093161 WA --

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FAQs about Dale J Peterson

What is the unique 10-digit identification code issued to Dale J Peterson by the Centers for Medicare & Medicaid Services?

The Dale J Peterson has been assigned the NPI (National Provider Identifier) 1912956376 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you share the physical location details of Dale J Peterson?

The Dale J Peterson is situated at 218 Ne A St, in the city of College Place, state of WA, with the zip code 993241114.

What is Dale J Peterson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dale J Peterson is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date was the 1912956376 assigned to Dale J Peterson?

The Dale J Peterson was issued its 1912956376 on 2006-05-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Dale J Peterson most recently updated or revised?

The details related to Dale J Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2023-10-28.

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