Individual provider · Type 1 NPI

Keith E. Petersen, DO

Adult Medicine Physician · Tacoma, WA

NPI number 1356615470 Active

Practice location

9040 Jackson Ave
Tacoma, WA 98431-1000

Call (253) 968-1340 Map

Mailing address

9040 Jackson Ave 9040 Jackson Street
Tacoma, WA 98431-1000

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505X60595760 (WA)

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

1,162 other providers at this address

Other adult medicine physician providers in Tacoma

See all in Tacoma →

About NPI 1356615470

Keith E. Petersen, DO's National Provider Identifier is 1356615470, issued on Mar 7, 2012. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Tacoma, WA. The record was last updated on Mar 12, 2024.