Organization
MELISSA PETERS, D.O. PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PETERS D.O. (PHYSICIAN)
(907) 376-2843
Entity
Organization
Contact information
Practice address
950 BOGARD RD, SUITE 226, WASILLA, AK 99654-7105
(907) 376-2868
Mailing address
950 BOGARD RD, SUITE 226, WASILLA, AK 99654-7105
(907) 376-2868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5156
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MD3818
—
AK
Enumeration date
06/27/2006
Last updated
06/30/2008
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