Blake Peterson
Orthopaedic Surgeon
2445 Army Navy Dr
Arlington
, Virginia 22206-2905
Blake Peterson
Orthopaedic Surgeon
2445 Army Navy Dr
Arlington
, Virginia 22206-2905
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About
Features
Specialties
- Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Blake Peterson
- 1100 Virginia Ave
- Columbia, MO
- Zip : 65212-0001
- Phone :
Second Address
- Blake Peterson
- 2445 Army Navy Dr
- Arlington, VA
- Zip : 22206-2905
- Phone : (703) 892-6500
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | 2012015918 | MO |
National Provider Identifier
| NPI | 1023379849 |
|---|---|
| Provider Name | Blake Peterson |
| First Address | Columbia, MO 65212-0001 |
| Second Address | Arlington, VA 22206-2905 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2012 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.