NPI 1023379849
Blake Peterson, MD
Practice location
- Address
- 2445 Army Navy Dr, Arlington, VA 22206-2905
- Phone
- (703) 892-6500
- Mailing address
- 1100 Virginia Ave, Columbia, MO 65212-0001
Registered specialties
Orthopaedic Surgery Physician
Primary
Registry record
- NPI
- 1023379849
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Jun 2012
- Record last updated
- 17 Mar 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.