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Organization

PETER DONALD MAHER IV, M.D., PLLC

Active
Other names
Columbia River Gastroenterology
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER DONALD MAHER IV M.D. (OWNER)
(509) 735-8600
Entity
Organization

Contact information

Practice address
602 N COLORADO ST, SUITE D, KENNEWICK, WA 99336-7825
(509) 735-8600
(509) 783-7354
Mailing address
602 N COLORADO ST, SUITE D, KENNEWICK, WA 99336-7825
(509) 735-8600
(509) 783-7354

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD00035465
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1111962
WA
Enumeration date
10/02/2006
Last updated
12/17/2007
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