Rod H Peterson, MD | |
105 W 8th Ave, Suite 6055, Spokane, WA 99204-2302 | |
(509) 455-9090 | |
(509) 747-2118 |
Full Name | Rod H Peterson |
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Gender | Male |
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 105 W 8th Ave, Spokane, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891744561 | NPI | - | NPPES |
2029663 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | MD00025600 (Washington) | Primary |
Entity Name | Community Health Association Of Spokane |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971 |
Mailing Address | Practice Location Address |
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Rod H Peterson, MD 105 W 8th Ave, Suite 6055, Spokane, WA 99204-2302 Ph: (509) 455-9090 | Rod H Peterson, MD 105 W 8th Ave, Suite 6055, Spokane, WA 99204-2302 Ph: (509) 455-9090 |
Robert Leonard Mulvihill, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S. Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 | |
Dr. Jason Lamar Aldred, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 610 S Sherman St, Suite 201, Spokane, WA 99202 Phone: 509-458-7720 Fax: 509-777-0432 | |
Abdelrahman Fouad Ahmed Beltagy, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-2894 Fax: 509-474-2895 | |
Jocelyn Cayla Mccornack, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 624 E Front Ave, Spokane, WA 99202 Phone: 509-626-9900 | |
Hyung Uk Park, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9631 N Nevada St Ste 300, Spokane, WA 99218 Phone: 509-465-3919 | |
Laura C Moss, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 101 W 8th Ave, Spokane, WA 99204 Phone: 509-474-4818 | |
Thomas Stanley Beck Jr., M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |