Individual
CHRISTIAN MOVALL PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10330 MERIDIAN AVE N STE 300, SEATTLE, WA 98133-9463
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OP00001599
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
OP00001599
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063453165
—
WA
Enumeration date
06/09/2006
Last updated
10/24/2019
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