John G Peterson
Interventional Cardiology Internist - Cardiovascular Disease
212 E Central Ave Suite 240
Spokane
, Washington 99208-6291
John G Peterson
Interventional Cardiology Internist - Cardiovascular Disease
212 E Central Ave Suite 240
Spokane
, Washington 99208-6291
(866) 747-2455
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Interventional Cardiology
Languages spoken
- English
Location
First Address
- John G Peterson
- Po Box 331
- Liberty Lake, WA
- Zip : 99019-0331
- Phone : (866) 747-2455
Second Address
- John G Peterson
- 212 E Central Ave Suite 240
- Spokane, WA
- Zip : 99208-6291
- Fax : (509) 838-4978
- Phone : (509) 455-8820
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | MD00032074 | WA |
| Y | 207RI0011X | Interventional Cardiology | MD00032074 | WA |
National Provider Identifier
| NPI | 1013931997 |
|---|---|
| Provider Name | John G Peterson |
| First Address | Liberty Lake, WA 99019-0331 |
| Second Address | Spokane, WA 99208-6291 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2006 |
| Last Update Date | 01/03/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 060056517 | RRB (01) | WA |
| 805511702 | (05) | ID |
| 8240657 | (05) | WA |
| G15013 | (02) |
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.