Dale Ann Petersen in Spokane - Physician Assistant

Dale Ann Petersen - NPI 1740265941

Dale Ann Petersen is a Physician Assistant in Spokane, Washington. Dale Ann Petersen practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Dale Ann Petersen is 1740265941. The last update date is 2021-04-28.

Dale Ann Petersen's current location address is 322 W North River Dr, Spokane, Washington. You can contact this provider via phone number 5093246464 and fax number 5092412056. The mailing address for Dale Ann Petersen is 322 W North River Dr, Spokane, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Name Dale Ann Petersen
Address 322 W North River Dr, Spokane, Washington
Phone Number 5093246464
Fax Number 5092412056
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1740265941
Provider Enumeration Date 2005-12-09
Last Updated Date 2021-04-28

Provider Mailing Address Detail

Address 322 W North River Dr
City Spokane
State Washington (WA)
Post Code 992013208
Phone Number 5093246464
Fax Number 5092412056

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA10003457
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

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FAQs about Dale Ann Petersen

What is the unique provider identifier assigned to Dale Ann Petersen?

The Dale Ann Petersen has been issued the NPI (National Provider Identifier) 1740265941 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Dale Ann Petersen is located?

The Dale Ann Petersen is situated at the following address: 322 W North River Dr, Spokane, WA, 992013208.

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

The specialized area of practice for Dale Ann Petersen is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

When was the Dale Ann Petersen's 1740265941 issued?

The Dale Ann Petersen's 1740265941 was issued on 2005-12-09.

When was the information regarding Dale Ann Petersen most recently updated?

The details pertaining to the Dale Ann Petersen, including its address, specialty, and other relevant information, were last refreshed on 2021-04-28.

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