Charles Smith Peterson in Scottsdale - Sports Medicine
Charles Smith Peterson - NPI 1952302143
Charles Smith Peterson is a Sports Medicine in Scottsdale, Arizona. Charles Smith Peterson practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Charles Smith Peterson is 1952302143. The last update date is 2019-07-30.
Charles Smith Peterson's current location address is 8630 E Via De Ventura Ste 201, Scottsdale, Arizona. You can contact this provider via phone number 4805583744 and fax number 4805583801. The mailing address for Charles Smith Peterson is 8630 E Via De Ventura Ste 201, Scottsdale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Smith Peterson |
|---|---|
| Address | 8630 E Via De Ventura Ste 201, Scottsdale, Arizona |
| Phone Number | 4805583744 |
| Fax Number | 4805583801 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952302143 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2019-07-30 |
Provider Mailing Address Detail
| Address | 8630 E Via De Ventura Ste 201 |
|---|---|
| City | Scottsdale |
| State | Arizona (AZ) |
| Post Code | 852583358 |
| Phone Number | 4805583744 |
| Fax Number | 4805583801 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | 28027 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Charles Smith Peterson by the Centers for Medicare & Medicaid Services?
The Charles Smith Peterson has been assigned the NPI (National Provider Identifier) 1952302143 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Charles Smith Peterson?
The Charles Smith Peterson is physically situated at 8630 E Via De Ventura Ste 201, in the city of Scottsdale, state of AZ, with the postal code 852583358.
What is Charles Smith Peterson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Smith Peterson's area of specialization is Sports Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Qs0010X.
On what date did Charles Smith Peterson receive its 1952302143 assignment from the Centers for Medicare & Medicaid Services?
The Charles Smith Peterson was assigned its 1952302143 on 2005-08-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Charles Smith Peterson most recently updated or revised?
The details related to Charles Smith Peterson, including its address, specialty, and other relevant information, were last updated or revised on 2019-07-30.
NPI Number: 1215930425
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