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Individual

PETER HARVESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
602 E NOB HILL BLVD, YAKIMA, WA 98901-3534
(509) 248-3334
(509) 453-6144
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-6175

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00014513
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0203239
L & I
WA
01
1204007
CHPW
WA
05
1204007
WA
01
91101392
COMMERCIAL
01
9392HA
REGENCE
WA
Enumeration date
10/05/2006
Last updated
12/05/2011
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