David J. Peterson, D.O.
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Tamc, HI
NPI 1205032075 · NPPES record last updated Jun 26, 2023
Key facts
- NPI
- 1205032075
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- DOS-1263 (HI)
- Practice address
- 1 Jarrett White Rd
Tripler Army Medical Center
Tamc, HI 96859-5001 - Phone
- (808) 433-5198
- Fax
- (808) 433-6127
- NPI assigned
- Jun 26, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DOS-1263 | HI | MD | Anatomic Pathology & Clinical Pathology Physician |
| 12206002-1204 | UT | MD | Anatomic Pathology & Clinical Pathology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | DOS-1263 | HI | Yes |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 12206002-1204 | UT |
Addresses
Primary practice location
1 Jarrett White Rd
Tripler Army Medical Center
Tamc, HI 96859-5001
Mailing address
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-5198
Other providers in Tamc, HI
- Suzie T Nemmers
- Charles Tri Nguyen
- Hung Dinh Nguyen
- Bradley Vann Pearson
- Leslie John Peters
- Joseph Sergio Gomes Pina
- William Joseph Quinn Jr.
- Aparna Barbara Raizada
- Inez Remigio
- Cathleen Cline Rice
All providers in Tamc, HI · Anatomic Pathology & Clinical Pathology Physician in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.