Individual
DR. PETER DONALD MAHER IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1270 LEE BLVD, RICHLAND, WA 99352-4231
(509) 942-3180
(509) 943-9722
Mailing address
900 STEVENS DR STE 101, RICHLAND, WA 99352-3536
(509) 942-3180
(509) 943-9722
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00035465
WA
207RG0100X
Gastroenterology Physician
Primary
MD00035465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1111962
—
WA
Enumeration date
12/17/2007
Last updated
06/15/2023
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