Philip Dean Peterson, MD
Pathology, Anatomic Pathology & Clinical Pathology in Fpo, AP. Individual provider (NPI-1).
NPI number1033472147
StatusActive
Last updated in NPPESSep 29, 2025
Details
- NPI
- 1033472147
- Entity type
- Individual (NPI-1)
- Name
- Philip Dean Peterson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2012
- Certification date
- Sep 29, 2025
- Last updated
- Sep 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207ZP0102X | Pathology, Anatomic Pathology & Clinical Pathology | 57296 | MN | Yes |
Practice location
Psc 475 Box 1Fpo, AP 96350-1200
Phone 315-243-8560
Mailing address
Psc 475 Box 1Fpo, AP 96350-1200
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