Provider Demographics
NPI:1659514909
Name:PELTO, HENRY FRANCIS III (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:FRANCIS
Last Name:PELTO
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:10601 5TH AVE NE
Mailing Address - Street 2:STE 201 WEST
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7025
Mailing Address - Country:US
Mailing Address - Phone:206-287-6400
Mailing Address - Fax:206-341-1801
Practice Address - Street 1:10601 5TH AVE NE
Practice Address - Street 2:STE 201 WEST
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7025
Practice Address - Country:US
Practice Address - Phone:206-287-6400
Practice Address - Fax:206-341-1801
Is Sole Proprietor?:No
Enumeration Date:2009-04-16
Last Update Date:2021-10-15
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Provider Licenses
StateLicense IDTaxonomies
WAMD60298925207XX0005X
WAML60096913207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine