KEITH E PETERSEN

TACOMA, WA
NPI1356615470
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QA0505X Family Medicine Adult Medicine
(Licence: WA  60595760)
Enumeration Date2012-03-07
Last Update Date2024-03-12
Business Address
KEITH E PETERSEN DO
9040 JACKSON AVE
TACOMA, WA 98431-1000
Phone number: 253-968-1340
Mailing Address
KEITH E PETERSEN DO
9040 JACKSON AVE 9040 JACKSON STREET
TACOMA, WA 98431-1000
Phone number: 253-968-1340
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