Jayne Marie Peterson in Phoenix - Internal Medicine
Jayne Marie Peterson - NPI 1124084397
Jayne Marie Peterson is a Internal Medicine in Phoenix, Arizona. Jayne Marie Peterson practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Jayne Marie Peterson is 1124084397. The last update date is 2011-05-19.
Jayne Marie Peterson's current location address is 1300 N 12th Street, Phoenix, Arizona. You can contact this provider via phone number 6028393927 and fax number 6028394233. The mailing address for Jayne Marie Peterson is 1300 N 12th Street, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jayne Marie Peterson |
|---|---|
| Address | 1300 N 12th Street, Phoenix, Arizona |
| Phone Number | 6028393927 |
| Fax Number | 6028394233 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1124084397 |
|---|---|
| Provider Enumeration Date | 2006-04-25 |
| Last Updated Date | 2011-05-19 |
Provider Mailing Address Detail
| Address | 1300 N 12th Street |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850062849 |
| Phone Number | 6028393927 |
| Fax Number | 6028394233 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 18828 |
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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 |
|---|---|---|---|
| 18828 | AZ | STATE LICENSE | |
| 286098 | AZ | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jayne Marie Peterson by the Centers for Medicare & Medicaid Services?
The Jayne Marie Peterson has been issued the NPI (National Provider Identifier) 1124084397. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jayne Marie Peterson?
The Jayne Marie Peterson is physically situated at 1300 N 12Th Street, in the city of Phoenix, state of AZ, with the postal code 850062849.
What is the Jayne Marie Peterson's specialty and taxonomy code?
The Jayne Marie Peterson's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Jayne Marie Peterson receive its 1124084397 assignment?
The Jayne Marie Peterson was assigned its 1124084397 on 2006-04-25, which is the date when this unique identifier was issued to the organization.
When was the information regarding Jayne Marie Peterson, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jayne Marie Peterson, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2011-05-19.