Individual
PAUL ARNOLD PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 PROVIDENCE DR STE B-104, ANCHORAGE, AK 99508-4690
(607) 212-7997
(907) 212-8225
Mailing address
PO BOX 4105, PORTLAND, OR 97208-4105
(907) 212-7997
(907) 212-8225
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2641
AK
207RC0000X
Cardiovascular Disease Physician
2641
AK
207RI0011X
Interventional Cardiology Physician
2641
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060051650
RAILROAD MEDICARE
AK
05
—
1011916
—
AK
Enumeration date
07/13/2006
Last updated
11/24/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us