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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. MARK W PETERSON, M.D.

Active

DR. MARK W PETERSON, M.D. is a Therapeutic Radiology healthcare provider located in LEWISTON, Idaho. NPI 1356312524 is currently active in the NPPES registry. Verify at CMS.

Therapeutic Radiology · LEWISTON, ID

Registration Details

NPI Number
1356312524
Provider Type
Individual
Gender
Male
NPI Issued
Jan 27, 2006 (20.528053635582 yrs)
Last Updated
Sep 11, 2025
Licenses
M5240 (ID)
M5240 (ID)

Practice Information

Address
415 6TH ST
LEWISTON, ID, 835012431
Browse ID providers · Browse ZIP 83501
Phone
2087995335
Primary Specialty
Therapeutic Radiology
2085R0204X
Additional Specialty
Therapeutic Radiology

Other Therapeutic Radiology Providers in LEWISTON, ID

Name Credential NPI
DR. JOHN W. HO MD 1023096955
DR. MICHAEL E BELL M.D. 1609071760
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.