Organization
RICHARD A PETERS, M.D. PC
Active
Parent organization
RICHARD A PETERS, M.D.PC
Other names
RICHARD A PETERS, M.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
RICHARD A PETERS, M.D.PC
Authorized official
DR. RICHARD A PETERS M.D (OWNER)
(907) 212-4970
Entity
Organization
Contact information
Practice address
3300 PROVIDENCE DR, SUITE 04, ANCHORAGE, AK 99508-4671
(907) 212-4970
(907) 212-4912
Mailing address
3300 PROVIDENCE DR, SUITE 04, ANCHORAGE, AK 99508-4671
(907) 212-4970
(907) 212-4912
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD3188
AK
2086S0102X
Surgical Critical Care Physician
MD3188
AK
2086S0127X
Trauma Surgery Physician
MD3188
AK
2086S0129X
Vascular Surgery Physician
MD3188
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3188
—
AK
Enumeration date
11/11/2009
Last updated
11/11/2009
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