| Peter Donald Maher Iv, M.d., Pllc | |
|
602 N Colorado St Suite D Kennewick WA 99336-7825 | |
| (509) 735-8600 | |
| (509) 783-7354 |
| Full Name | Peter Donald Maher Iv, M.d., Pllc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 602 N Colorado St, Kennewick, Washington |
| Authorized Official Name and Position | Peter Donald Maher (OWNER) |
| Authorized Official Contact | 5097358600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peter Donald Maher Iv, M.d., Pllc 602 N Colorado St Suite D Kennewick WA 99336-7825 Ph: (509) 735-8600 | Peter Donald Maher Iv, M.d., Pllc 602 N Colorado St Suite D Kennewick WA 99336-7825 Ph: (509) 735-8600 |
| NPI Number | 1104910538 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 12/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104910538 | NPI | - | NPPES |
| 1111962 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | MD00035465 (Washington) | Primary |
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