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Individual

DONALD G PETERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184
Mailing address
1229 MADISON ST, SUITE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD00014884
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050035797
RAILROAD
05
8191207
WA
01
CD5550
RAILROAD
Enumeration date
01/19/2007
Last updated
02/10/2009
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