Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GERALDINE ANNE PETERDY, MD
Active Sole ProprietorDR. GERALDINE ANNE PETERDY, MD is a Anatomic Pathology healthcare provider located in LIBERTY LAKE, Washington. NPI 1104864792 is currently active in the NPPES registry. Verify at CMS.
Anatomic Pathology · LIBERTY LAKE, WA
Registration Details
- NPI Number
- 1104864792
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 3, 2006 (20.053648710849 yrs)
- Last Updated
- Nov 17, 2014
- Licenses
-
MD00041937 (WA)MD00041937 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
112 S GREENRIDGE DRLIBERTY LAKE, WA, 990199566Browse WA providers · Browse ZIP 99019
- Phone
- 5092551000
- Primary Specialty
-
Anatomic Pathology
207ZP0101X
- Additional Specialty
- Anatomic Pathology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.