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Contact Information

RICHARD A PETERS, MD
3300 PROVIDENCE DR
SUITE 04
ANCHORAGE, AK99508-4616
 Phone: 907-212-4970
 Fax: 907-212-4912
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
 

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for RICHARD A PETERS · (Male)

NPI Number 1508964917
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 11/12/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • AK License # MD3188
  • AK Medicaid MD3188
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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