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

Mr. Scott W Peterson, PA

Individual provider Physician Assistant · NPI 1720105901

Mr. Scott W Peterson, PA is a Physician Assistant in Wasilla, Alaska. Licensed in Alaska. Registered with an NPI since 2007.

Licensed in
AK
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

950 Bogard Rd Ste 233
Wasilla, AK 99654-7105
Phone: (907) 352-2880
Fax: (907) 352-2885
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 246 (AK)

Record details

NPI number1720105901
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 23, 2007
Last updated in NPPESJuly 9, 2007

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