Craig Raymond Peterson in Fairhope - Interventional Cardiology
Craig Raymond Peterson - NPI 1619923844
Craig Raymond Peterson is a Interventional Cardiology in Fairhope, Alabama. Craig Raymond Peterson practices all healthcare services and medical treatments related to Interventional Cardiology. The NPI Number for Craig Raymond Peterson is 1619923844. The last update date is 2008-05-01.
Craig Raymond Peterson's current location address is 19725 South Greeno Rd, Fairhope, Alabama. You can contact this provider via phone number 2519901930 and fax number 2519901931. The mailing address for Craig Raymond Peterson is 19725 South Greeno Rd, Fairhope, Alabama. To know further, please read the information below!
Provider Profile Detail
Provider Name | Craig Raymond Peterson |
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Address | 19725 South Greeno Rd, Fairhope, Alabama |
Phone Number | 2519901930 |
Fax Number | 2519901931 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1619923844 |
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Provider Enumeration Date | 2006-05-26 |
Last Updated Date | 2008-05-01 |
Provider Mailing Address Detail
Address | 19725 South Greeno Rd |
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City | Fairhope |
State | Alabama (AL) |
Post Code | 365323843 |
Phone Number | 2519901930 |
Fax Number | 2519901931 |
Provider's Primary Taxonomy Detail
Speciality | Interventional Cardiology |
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Taxonomy | 207Ri0011X |
Licence No | 18762 |
Definition: An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medicat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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8091 | AL | BLUE CROSS BLUE SHIELD | |
529918300 | AL | -- | |
8091 | AL | -- |
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What is the unique identifier code issued to Craig Raymond Peterson by the Centers for Medicare & Medicaid Services?
The Craig Raymond Peterson has been assigned the NPI (National Provider Identifier) 1619923844. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Craig Raymond Peterson's physical address?
The Craig Raymond Peterson is physically located at 19725 South Greeno Rd, in the city of Fairhope, AL, with the postal code 365323843.
What is Craig Raymond Peterson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Craig Raymond Peterson's specialized field of practice is Interventional Cardiology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ri0011X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619923844 to Craig Raymond Peterson?
The Centers for Medicare & Medicaid Services originally issued the 1619923844 to Craig Raymond Peterson on 2006-05-26.
As of what date were the Craig Raymond Peterson's details last updated?
The information pertaining to the Craig Raymond Peterson, including its address, specialty, and other details, was most recently updated on 2008-05-01.