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PETERSON PLASTIC SURGERY INC NPI 1356623698


NPI Information

NPI: 1356623698
Provider Name: PETERSON PLASTIC SURGERY, INC

Doing Business As: ELIZABETH PETERSON MD

Classification: Plastic Surgery - 208200000X
Entity Type: Organization
Address:
105 W 8TH AVE STE 500
SPOKANE, WA
ZIP 99204
Phone: (509) 838-3937
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PETERSON PLASTIC SURGERY, INC is a plastic surgery in Spokane, WA. The provider is a plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. PETERSON PLASTIC SURGERY, INC NPI is 1356623698. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Elizabeth Peterson Md.

The provider's business location address is:

105 W 8TH AVE STE 500
SPOKANE, WA
ZIP 99204-300
Phone: (509) 838-3937
Fax: (509) 624-6232

The provider's authorized official is Lucy Elizabeth Peterson .
The authorized official title is President and has the following contact phone number (509) 838-3937.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 9/13/2011.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208200000XPlastic SurgeryMD00031440WASHINGTONYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G319000027MEDICARE PINWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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