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

DR. ALAN CLIFTON PETERSON, M.D.

Active Sole Proprietor

DR. ALAN CLIFTON PETERSON, M.D. is a Anatomic Pathology & Clinical Pathology healthcare provider located in LEWISTON, Idaho. NPI 1992751325 is currently active in the NPPES registry. Verify at CMS.

Anatomic Pathology & Clinical Pathology · LEWISTON, ID

Registration Details

NPI Number
1992751325
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2006 (20.242845001125 yrs)
Last Updated
Oct 24, 2014
Licenses
M-9571 (ID)
MD00046440 (WA)
Sole Proprietor
Yes

Practice Information

Address
415 6TH ST
LEWISTON, ID, 835012431
Browse ID providers · Browse ZIP 83501
Phone
2087460516
Fax
2087464989
Primary Specialty
Anatomic Pathology & Clinical Pathology
207ZP0102X

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.