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Individual

PETER R. SCHMIDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
400 S 43RD ST, ER DEPT, RENTON, WA 98055-5714
(425) 228-3450
Mailing address
PO BOX 24584, SEATTLE, WA 98124-0584
(425) 656-4255
(425) 656-4003

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD00046196
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0208772
LABOR&INDUSTRIES PROV NUM
WA
05
8454688
WA
Enumeration date
06/06/2006
Last updated
05/04/2010
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