Individual
PEGGY A HOSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
237 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 426-2500
(360) 426-2787
Mailing address
237 PROFESSIONAL WAY, SHELTON, WA 98584-4404
(360) 426-2500
(360) 426-2787
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00015872
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8408809
—
WA
Enumeration date
06/16/2005
Last updated
03/24/2009
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