Gregory Wayne Petersburg in Oro Valley - Adult Medicine
Gregory Wayne Petersburg - NPI 1225167281
Gregory Wayne Petersburg is a Adult Medicine in Oro Valley, Arizona. Gregory Wayne Petersburg practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Gregory Wayne Petersburg is 1225167281. The last update date is 2007-07-08.
Gregory Wayne Petersburg's current location address is 10371 N Oracle Rd, Oro Valley, Arizona. You can contact this provider via phone number 5202291900 and fax number 5207422900. The mailing address for Gregory Wayne Petersburg is 10371 N Oracle Rd, Oro Valley, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Wayne Petersburg |
|---|---|
| Address | 10371 N Oracle Rd, Oro Valley, Arizona |
| Phone Number | 5202291900 |
| Fax Number | 5207422900 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1225167281 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 10371 N Oracle Rd |
|---|---|
| City | Oro Valley |
| State | Arizona (AZ) |
| Post Code | 857379392 |
| Phone Number | 5202291900 |
| Fax Number | 5207422900 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 3714 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3714 | AZ | AZ MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregory Wayne Petersburg by the Centers for Medicare & Medicaid Services?
The Gregory Wayne Petersburg has been issued the NPI (National Provider Identifier) 1225167281 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Gregory Wayne Petersburg located?
The Gregory Wayne Petersburg is located at 10371 N Oracle Rd, Oro Valley, AZ 857379392.
What is the Gregory Wayne Petersburg's specialty and taxonomy code?
The Gregory Wayne Petersburg's specialty is Adult Medicine, and the corresponding taxonomy code is 207Qa0505X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1225167281 to Gregory Wayne Petersburg?
The Centers for Medicare & Medicaid Services originally issued the 1225167281 to Gregory Wayne Petersburg on 2007-03-05.
When was the information regarding Gregory Wayne Petersburg most recently updated?
The details pertaining to the Gregory Wayne Petersburg, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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