IndividualActive
Alan Peterson, M.D.
NPI 1992751325 · Anatomic Pathology & Clinical Pathology Physician · Lewiston, ID
Provider details
- NPI number
- 1992751325
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- M-9571 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
415 6th St
Lewiston, ID 83501-2431
Phone: (208) 746-0516
Fax: (208) 746-4989
Approximate (ZIP-level) locationGet directions
Mailing address
415 6th St
Lewiston, ID 83501-2431
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2014-10-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.