person
Keith E Petersen, DO
Adult Medicine Physician in Tacoma, Washington
NPI 1356615470

Keith E Petersen is an Adult Medicine Physician based in Tacoma, WA and is specialized in Adult Medicine. Keith E Petersen practices in Tacoma, WA and has the professional credentials of DO. The NPI Number for Keith E Petersen is 1356615470 and holds a License No. 60595760 (Washington).

The current practice location address for Keith E Petersen is 9040 Jackson Ave, Tacoma, WA and can be reached out via phone at 253-968-1340.

Location: 9040 Jackson Ave, Tacoma, WA, 98431-1000
person
Provider Profile Details
NPI Number
1356615470
Provider Name
Keith E Petersen
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
9040 Jackson Ave, Tacoma, WA, 98431-1000
Phone Number
253-968-1340
Fax Number
Provider Enumeration Date
03/07/2012
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1000
Phone Number
253-968-1340
Fax Number
person
Provider Business Mailing Address Details
Address
9040 Jackson Ave
City
State
Zip
98431-1000
Phone Number
253-968-1340
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
60595760 (Washington)
Definition
Definition to come.
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