Individual
DR. ALAN PETER PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
320 WILLOW ST, WALLA WALLA, WA 99362
(509) 529-1770
Mailing address
PO BOX 1999, WALLA WALLA, WA 99362-0999
(509) 529-1152
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD06015782
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7173305
—
WA
Enumeration date
08/21/2006
Last updated
03/05/2008
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