Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEITH E PETERSEN, DO
ActiveKEITH E PETERSEN, DO is a Adolescent Medicine healthcare provider located in TACOMA, Washington. NPI 1356615470 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · TACOMA, WA
Registration Details
- NPI Number
- 1356615470
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 7, 2012 (14.457114191144 yrs)
- Last Updated
- Mar 12, 2024
- License
-
60595760 (WA)
Practice Information
- Address
-
9040 JACKSON AVETACOMA, WA, 984311000Browse WA providers · Browse ZIP 98431
- Phone
- 2539681340
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Other Adolescent Medicine Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| DR. DEBORAH SINGER HAMMOND | MD | 1497852123 |
| DR. KENNETH J RITTER | M.D. | 1285705350 |
| CARLA NICOLE AMADEI GATTI | MD | 1053168708 |
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.