Mark David Peterson in Phoenix - Vascular Surgery
Mark David Peterson - NPI 1326148800
Mark David Peterson is a Vascular Surgery in Phoenix, Arizona. Mark David Peterson practices all healthcare services and medical treatments related to Vascular Surgery. The NPI Number for Mark David Peterson is 1326148800. The last update date is 2023-09-18.
Mark David Peterson's current location address is Po Box 61773, Phoenix, Arizona. You can contact this provider via phone number 6026826701 and fax number 6022406177. The mailing address for Mark David Peterson is Po Box 61773, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark David Peterson |
|---|---|
| Address | Po Box 61773, Phoenix, Arizona |
| Phone Number | 6026826701 |
| Fax Number | 6022406177 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1326148800 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2023-09-18 |
Provider Mailing Address Detail
| Address | Po Box 61773 |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850821773 |
| Phone Number | 6026826701 |
| Fax Number | 6022406177 |
Provider's Primary Taxonomy Detail
| Speciality | Vascular Surgery |
|---|---|
| Taxonomy | 2086S0129X |
| Licence No | 35706 |
|
Definition: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 147570 | AZ | -- | |
| WCSKQ | AZ | SUN HEALTH GROUP # | |
| 35706 | AZ | AZ LICENSE # | |
| CPSO 72684 | AZ | ONTARIO MEDICAL LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Mark David Peterson by the Centers for Medicare & Medicaid Services?
The Mark David Peterson has been issued the NPI (National Provider Identifier) 1326148800. 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 Mark David Peterson?
The Mark David Peterson is physically situated at Po Box 61773, in the city of Phoenix, state of AZ, with the postal code 850821773.
What is the area of specialization for Mark David Peterson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Mark David Peterson is Vascular Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 2086S0129X.
On what date did the Mark David Peterson receive its 1326148800 assignment from the Centers for Medicare & Medicaid Services?
The Mark David Peterson was assigned its 1326148800 by the Centers for Medicare & Medicaid Services on 2006-09-24.
When was the information related to Mark David Peterson most recently updated or refreshed?
The details pertaining to the Mark David Peterson, including its address, specialty, and other relevant information, were last updated or refreshed on 2023-09-18.