# DR. SCOTT MARTIN PETERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1275574519
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | D60032 | MD | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | 0101273619 | VA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD045745 | DC | Yes |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 11/19/2021