Individual
J. WILLIAM PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3016 E 57TH AVE, SUITE 27, SPOKANE, WA 99223-7036
(509) 838-2531
Mailing address
PO BOX 3649, SPOKANE, WA 99220-3649
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00013917
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8100901
—
WA
Enumeration date
08/24/2005
Last updated
07/08/2007
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