Peterson, Brad

Peterson, Brad is an individual health care provider with primary practice located at 2827 Fort Missoula Road Community Medical Center, Dept. Of Pathology, Missoula MT 59804-7408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Peterson, Brad can be contacted via phone (406) 327-4330.

Contact Information

Primary practice address
2827 Fort Missoula Road Community Medical Center, Dept. Of Pathology Missoula MT 59804-7408
Phone: (406) 327-4330
Fax: (406) 327-4515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 9730 Montana

Profile Details

NPI number 1730132820
LBN Legal business name Peterson, Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Sep 14th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730132820 NPPES
Montana MEDICAID 0036584

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