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Individual
ALAN PETERSON
Active
Individual
ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD014323E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127269
UNISON
PA
01
—
000142601
HIGHMARK
PA
01
—
0006850290003
RR MEDICARE
PA
05
—
0006850290003
—
PA
01
—
0038488000
INDEPENDENCE BLUE CROSS
PA
01
—
0555758
AETNA-HMO
PA
01
—
100364D
MERCY
PA
01
—
30027962
KEYSTONE MERCY
PA
01
—
35903
GEISINGER
PA
01
—
50055854
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
5898345
AETNA-NON HMO
PA
01
—
7376572
CIGNA
PA
Enumeration date
06/03/2006
Last updated
04/12/2011
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