NPI 1356312524

Mark W Peterson, MD

Practitioner Vascular & Interventional Radiology Physician Lewiston, ID

Practice location

Address: 415 6th St, Lewiston, ID 83501-2431
Phone: (208) 799-5335
Mailing address: 531 4th Ave, Lewiston, ID 83501-2450

Registered specialties (2)

Vascular & Interventional Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0204X Licence M5240 (ID)

Other Radiology providers in Idaho →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X Licence M5240 (ID)

Registry record

NPI: 1356312524
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2006
Record last updated: 13 Jul 2026

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.