L Staffan Pettersson in Peoria - Internal Medicine
L Staffan Pettersson - NPI 1205880861
L Staffan Pettersson is a Internal Medicine in Peoria, Arizona. L Staffan Pettersson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for L Staffan Pettersson is 1205880861. The last update date is 2008-01-24.
L Staffan Pettersson's current location address is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. You can contact this provider via phone number 6238763850 and fax number 6238763809. The mailing address for L Staffan Pettersson is 13640 N Plaza Del Rio Blvd, Peoria, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | L Staffan Pettersson |
|---|---|
| Address | 13640 N Plaza Del Rio Blvd, Peoria, Arizona |
| Phone Number | 6238763850 |
| Fax Number | 6238763809 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1205880861 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2008-01-24 |
Provider Mailing Address Detail
| Address | 13640 N Plaza Del Rio Blvd |
|---|---|
| City | Peoria |
| State | Arizona (AZ) |
| Post Code | 853814846 |
| Phone Number | 6238763850 |
| Fax Number | 6238763809 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 26390 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 424200 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to L Staffan Pettersson by the Centers for Medicare & Medicaid Services?
The L Staffan Pettersson has been issued the NPI (National Provider Identifier) 1205880861. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of L Staffan Pettersson?
The L Staffan Pettersson is situated at 13640 N Plaza Del Rio Blvd, in the city of Peoria, state of AZ, with the zip code 853814846.
What is the L Staffan Pettersson's specialty and taxonomy code?
The L Staffan Pettersson's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1205880861 to L Staffan Pettersson?
The Centers for Medicare & Medicaid Services originally issued the 1205880861 to L Staffan Pettersson on 2006-05-19.
As of what date was the information regarding L Staffan Pettersson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to L Staffan Pettersson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-24.
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