DR. Mark W Peterson, M.D.

NPI #1356312524 in Lewiston, Idaho

Provider Information

NPI Number: 1356312524
Entity Type: Individual
Name: DR. Mark W Peterson, M.D.
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Radiology - Vascular & Interventional Radiology
Credential: M.D.
Enumeration Date: Jan 27, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 415 6TH ST
City: Lewiston
State: Idaho
ZIP Code: 83501-2431
Phone: (208) 799-5335

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X
Radiology - Vascular & Interventional Radiology — Vascular & Interventional Radiology	2085R0204X	Primary

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Organizations

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