Individual
DR. DYLAN BERNS PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-1539
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
LP04110
RI
207Q00000X
Family Medicine Physician
MD17011
RI
207Q00000X
Family Medicine Physician
Primary
MD61181360
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP04110
RHODE ISLAND STATE MEDICAL LICENSE
RI
Enumeration date
06/21/2017
Last updated
06/29/2021
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