Douglas Peterson in Tucson - Specialist

Douglas Peterson - NPI 1831185040

Douglas Peterson is a Specialist in Tucson, Arizona. Douglas Peterson practices all healthcare services and medical treatments related to Specialist. The NPI Number for Douglas Peterson is 1831185040. The last update date is 2007-07-08.

Douglas Peterson's current location address is 2585 N Wyatt Dr, Tucson, Arizona. You can contact this provider via phone number 5207212728 and fax number 5207210179. The mailing address for Douglas Peterson is 2585 N Wyatt Dr, Tucson, Arizona. To know further, please read the information below!

Provider Profile Detail

Provider Name Douglas Peterson
Address 2585 N Wyatt Dr, Tucson, Arizona
Phone Number 5207212728
Fax Number 5207210179
Sole Proprietor X
Credentials MD

NPI Number Detail

NPI Number 1831185040
Provider Enumeration Date 2005-09-22
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2585 N Wyatt Dr
City Tucson
State Arizona (AZ)
Post Code 857126104
Phone Number 5207212728
Fax Number 5207210179

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 21014
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
132316 AZ --

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FAQs about Douglas Peterson

What is the unique 10-digit identifier code assigned to Douglas Peterson by the Centers for Medicare & Medicaid Services?

The Douglas Peterson has been issued the NPI (National Provider Identifier) 1831185040 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Douglas Peterson is physically located?

The Douglas Peterson is physically situated at the following address: 2585 N Wyatt Dr, Tucson, AZ, 857126104.

What is Douglas Peterson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Douglas Peterson is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1831185040 to Douglas Peterson?

The Centers for Medicare & Medicaid Services assigned the 1831185040 to Douglas Peterson on 2005-09-22.

When was the information regarding Douglas Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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