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Dr. Mark W Peterson, MD
Vascular & Interventional Radiology Physician in Lewiston, Idaho
NPI 1356312524

Mark W Peterson is a Vascular & Interventional Radiology Physician based in Lewiston, ID and is specialized in Vascular & Interventional Radiology. Mark W Peterson practices in Lewiston, ID and has the professional credentials of MD. The NPI Number for Mark W Peterson is 1356312524 and holds a License No. M5240 (Idaho).

The current practice location address for Mark W Peterson is 415 6Th St, Lewiston, ID and can be reached out via phone at 208-799-5335.

Location: 415 6Th St, Lewiston, ID, 83501-2450
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Provider Profile Details
NPI Number
1356312524
Provider Name
Mark W Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
415 6Th St, Lewiston, ID, 83501-2450
Phone Number
208-799-5335
Fax Number
Provider Enumeration Date
01/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00165374 01 RAILROAD MEDICARE
0192980 01 WA LABOR & INDUSTRIES
000010005909 01 ID REGENCE BS OF IDAHO
71498 01 ID BLUE CROSS OF IDAHO
8156473 05 WA
institution
Provider Business Practice Location Address Details
Address
415 6Th St
City
State
Zip
83501-2431
Phone Number
208-799-5335
Fax Number
person
Provider Business Mailing Address Details
Address
415 6Th St
City
State
Zip
83501-2431
Phone Number
208-799-5335
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
M5240 (Idaho)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
License No.
M5240 (Idaho)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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