Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark W Peterson, MD

Individual provider Diagnostic Radiology Physician · NPI 1356312524

Dr. Mark W Peterson, MD is a Diagnostic Radiology Physician in Lewiston, Idaho. Licensed in Idaho. Registered with an NPI since 2006.

Licensed in
ID
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

415 6th St
Lewiston, ID 83501-2431
Phone: (208) 799-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence M5240 (ID)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence M5240 (ID)

Record details

NPI number1356312524
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 27, 2006
Last updated in NPPESJuly 13, 2026

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