Individual
ROSEMARY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD00043414
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0214702
DEPARTMENT OF L&I
WA
01
—
1280PE
REGENCE
WA
01
—
1311
REGENCE
WA
01
—
1780PE
REGENCE
WA
01
—
1802PE
REGENCE
WA
01
—
6410PE
REGENCE
WA
05
—
82456816
—
WA
01
—
P00249562
RAILROAD MEDICARE
WA
Enumeration date
01/11/2007
Last updated
04/28/2021
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