John Cleve Peterson in Mercer Island - Adult Medicine
John Cleve Peterson - NPI 1023111002
John Cleve Peterson is a Adult Medicine in Mercer Island, Washington. John Cleve Peterson practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for John Cleve Peterson is 1023111002. The last update date is 2007-07-08.
John Cleve Peterson's current location address is 7030 N Mercer Way, Mercer Island, Washington. You can contact this provider via phone number 2062327669 and fax number 2062327679. The mailing address for John Cleve Peterson is 7030 N Mercer Way, Mercer Island, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Cleve Peterson |
|---|---|
| Address | 7030 N Mercer Way, Mercer Island, Washington |
| Phone Number | 2062327669 |
| Fax Number | 2062327679 |
| Sole Proprietor | Y |
| Credentials | M.D., M.P. |
NPI Number Detail
| NPI Number | 1023111002 |
|---|---|
| Provider Enumeration Date | 2006-09-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7030 N Mercer Way |
|---|---|
| City | Mercer Island |
| State | Washington (WA) |
| Post Code | 980402130 |
| Phone Number | 2062327669 |
| Fax Number | 2062327679 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 11059 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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What is the unique provider identifier assigned to John Cleve Peterson?
The John Cleve Peterson has been issued the NPI (National Provider Identifier) 1023111002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the John Cleve Peterson's physical address?
The John Cleve Peterson is physically located at 7030 N Mercer Way, in the city of Mercer Island, WA, with the postal code 980402130.
What is the John Cleve Peterson's specialty and taxonomy code?
The John Cleve Peterson's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
When was the John Cleve Peterson's 1023111002 issued?
The John Cleve Peterson's 1023111002 was issued on 2006-09-06.
As of what date were the John Cleve Peterson's details last updated?
The information pertaining to the John Cleve Peterson, including its address, specialty, and other details, was most recently updated on 2007-07-08.