IndividualActive
Blake Peterson, MD
NPI 1023379849 · Orthopaedic Surgery Physician · Arlington, VA
Provider details
- NPI number
- 1023379849
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012015918 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2445 Army Navy Dr
Arlington, VA 22206-2905
Phone: (703) 892-6500
Approximate (ZIP-level) locationGet directions
Mailing address
1100 Virginia Ave
Columbia, MO 65212-0001
Additional practice locations (1)
- 2501 Parkers Ln # 200Alexandria, VA 22306-3209Phone: (703) 892-6500
Registry dates
- Enumerated
- 2012-06-07
- Last updated
- 2018-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.