| Patrick C Peterson, PA-C | |
|
1326 N Stanford Ln, Liberty Lake, WA 99019-5034 | |
| (509) 838-2531 | |
| Not Available |
| Full Name | Patrick C Peterson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1326 N Stanford Ln, Liberty Lake, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437260171 | NPI | - | NPPES |
| 0212972 | Other | WA | L&I |
| 8427494 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA10003923 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick C Peterson, PA-C Po Box 3649, Spokane, WA 99220-3649 Ph: () - | Patrick C Peterson, PA-C 1326 N Stanford Ln, Liberty Lake, WA 99019-5034 Ph: (509) 838-2531 |
Christie Ann Ceballos, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1429 N Liberty Lake Dr., Liberty Lake, WA 99019 Phone: 509-530-5460 Fax: 509-530-5477 | |
Kyle P Robles, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Po Box 421, Liberty Lake, WA 99019 Phone: 509-293-5421 Fax: 509-227-7070 |