Organization
PETERSON NEUROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM PETERSON M.D. (PRESIDENT/OWNER)
(202) 526-2509
Entity
Organization
Contact information
Practice address
1140 VARNUM ST NE, SUITE #101, WASHINGTON, DC 20017-2151
(202) 526-2509
(202) 529-7215
Mailing address
1140 VARNUM ST NE, SUITE #101, WASHINGTON, DC 20017-2151
(202) 526-2509
(202) 529-7215
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD12471
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011019400
—
DC
05
—
232301000
—
MD
Enumeration date
10/06/2006
Last updated
05/22/2008
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