Individual
ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
317 S CHESTNUT ST, QUARRYVILLE, PA 17566-1344
(717) 786-7383
Mailing address
555 N DUKE ST, LANCASTER, PA 17602-2250
(717) 544-5511
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD014323E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000127269
UNISON
PA
01
—
000142601
HIGHMARK
PA
01
—
0006850290003
RR MEDICARE
PA
05
—
0006850290003
—
PA
01
—
0038488000
INDEPENDENCE BLUE CROSS
PA
01
—
0555758
AETNA-HMO
PA
01
—
100364D
MERCY
PA
01
—
30027962
KEYSTONE MERCY
PA
01
—
35903
GEISINGER
PA
01
—
50055854
CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL
PA
01
—
5898345
AETNA-NON HMO
PA
01
—
7376572
CIGNA
PA
Enumeration date
06/03/2006
Last updated
04/12/2011
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