Individual
DR. CARLY ELIZABETH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, FRCPC
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Mailing address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6980
(206) 223-6982
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD60556882
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124307046
—
WA
Enumeration date
08/09/2011
Last updated
10/11/2018
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