# ALAN PETERSON

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

## Provider details

- **NPI number:** 1699713495
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD014323E | PA | Yes |

## Other

- **Enumeration date:** 06/03/2006
- **Last updated:** 04/12/2011

## 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 |