Individual
JAMES MATHEW PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12 S 8TH ST, YAKIMA, WA 98901-3020
(509) 454-4143
Mailing address
PO BOX 2605, YAKIMA, WA 98907-2605
(509) 454-4143
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA60710620
WA
Other
Enumeration date
05/08/2018
Last updated
01/26/2023
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