Individual provider · Type 1 NPI
John Cleve Peterson Iii, MD, M.P.H.
Adult Medicine Physician · Mercer Island, WA
NPI number
1023111002
Active
Practice location
7030 N Mercer Way
Mercer Island, WA 98040-2130
Fax (206) 232-7679
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | 11059 (WA) |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 11059 (WA) |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
About NPI 1023111002
John Cleve Peterson Iii, MD, M.P.H.'s National Provider Identifier is 1023111002, issued on Sep 6, 2006. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Mercer Island, WA. The record was last updated on Sep 11, 2025.