Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ALAN CLIFTON PETERSON, M.D.
Active Sole ProprietorAnatomic Pathology & Clinical Pathology · LEWISTON, ID
Registration Details
- NPI Number
- 1992751325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 26, 2006 (19.91407902688 yrs)
- Last Updated
- Oct 24, 2014
- Licenses
-
M-9571 (ID)MD00046440 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
415 6TH STLEWISTON, ID, 835012431Browse ID providers · Browse ZIP 83501
- Phone
- 2087460516
- Fax
- 2087464989
- Primary Specialty
-
Anatomic Pathology & Clinical Pathology
207ZP0102X
- Additional Specialty
- Anatomic Pathology & Clinical Pathology
Other Anatomic Pathology & Clinical Pathology Providers in LEWISTON, ID
| Name | Credential | NPI |
|---|---|---|
| DR. KIM JANET WILSON | MD | 1700863024 |
| DR. REBECCA L. FULTON | MD | 1093996365 |
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.