CHAD HERBERT PETERSON PA NPI 1053313106

NPI Information

Chad Herbert Peterson, PA is a medical physician assistant in Pittsburgh, PA with 25 years of experience. Chad Herbert Peterson, PA NPI is 1053313106. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1307 FEDERAL ST
2ND FL ALLEGHENY ORTHOPAEDIC ASSOCS
PITTSBURGH, PA
ZIP 15212-705
Phone: (877) 660-6777
Fax: (412) 359-8055

The NPI 1053313106 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/10/2005 and was last updated on 4/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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