Carolyn G Peterson in Phoenix - Physician Assistant
Carolyn G Peterson - NPI 1477535334
Carolyn G Peterson is a Physician Assistant in Phoenix, Arizona. Carolyn G Peterson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Carolyn G Peterson is 1477535334. The last update date is 2021-02-11.
Carolyn G Peterson's current location address is 5779 E Mayo Blvd, Phoenix, Arizona. You can contact this provider via phone number 4803018000. The mailing address for Carolyn G Peterson is 5779 E Mayo Blvd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carolyn G Peterson |
|---|---|
| Address | 5779 E Mayo Blvd, Phoenix, Arizona |
| Phone Number | 4803018000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A. - C |
NPI Number Detail
| NPI Number | 1477535334 |
|---|---|
| Provider Enumeration Date | 2005-11-16 |
| Last Updated Date | 2021-02-11 |
Provider Mailing Address Detail
| Address | 5779 E Mayo Blvd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850544502 |
| Phone Number | 4803018000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 1874 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 344458 | AZ | -- | |
| 240004028 | AZ | RAILROAD MEDICARE | |
| 86080015085259A | AZ | TRIWEST |
Post Comment/ Review Below
Could you please share the complete physical location address where Carolyn G Peterson's facilities are situated?
The facilities of Carolyn G Peterson are physically located at the following address: 5779 E Mayo Blvd, Phoenix, AZ, 850544502.
What is Carolyn G Peterson's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Carolyn G Peterson is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date was the 1477535334 assigned to Carolyn G Peterson?
The Carolyn G Peterson was issued its 1477535334 on 2005-11-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Carolyn G Peterson most recently updated?
The details pertaining to the Carolyn G Peterson, including its address, specialty, and other relevant information, were last refreshed on 2021-02-11.
As of what date was the information pertaining to Carolyn G Peterson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carolyn G Peterson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-02-11.