Dr. Dylan B Peterson, MD
Family Medicine in Tacoma, Washington
1083134019- Practice location
- 1708 E 44TH St, Tacoma, WA 98404-4611
- Phone
- 253-722-2161
- Fax
- —
- Last updated
- June 29, 2021
Dylan Berns Peterson is a Family Medicine based in Tacoma, WA. Dylan Berns Peterson practices in Tacoma, WA and has the professional credentials of MD. The NPI Number for Dylan Berns Peterson is 1083134019 and holds a License No. LP04110 (RI). The current practice location address for Dylan Berns Peterson is 1708 E 44TH St, Tacoma, WA 98404-4611 and can be reached out via phone at 253-722-2161.
Provider Profile Details
- NPI Number
- 1083134019
- Provider Name
- Dylan Berns Peterson
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1708 E 44TH St, Tacoma, WA 98404-4611
- Phone Number
- 253-722-2161
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2017
- Last Update Date
- June 29, 2021
- Certification Date
- June 29, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1708 E 44TH St
Tacoma, WA 98404-4611 - City
- Tacoma
- State
- Washington
- Zip
- 98404-4611
- Phone Number
- 253-722-2161
Provider Business Mailing Address Details
- Address
- 1148 Broadway Ste 100
Tacoma, WA 98402-3518 - City
- Tacoma
- State
- WA
- Zip
- 98402-3518
- Phone Number
- 253-722-1539
License Information
- License Number (1)
- LP04110
- License State (1)
- RI
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- MD17011
- License State (2)
- RI
- Taxonomy (2)
- Family Medicine · 207Q00000X
- License Number (3)
- MD61181360
- License State (3)
- WA
- Taxonomy (3)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Dylan B Peterson, MD?
The NPI number of Dr. Dylan B Peterson, MD is 1083134019. It was assigned on June 21, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Dylan B Peterson, MD?
Dr. Dylan B Peterson, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in RI under license number LP04110.
Where does Dr. Dylan B Peterson, MD practice?
The practice location is 1708 E 44TH St, Tacoma, WA 98404-4611. The office can be reached at 253-722-2161 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083134019 directly on the NPPES registry website.