Carolyn G Peterson is a Surgical in Phoenix, Arizona. Carolyn G Peterson practices all healthcare services and medical treatments related to Surgical. 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 | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 1874 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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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 Surgical, and the corresponding taxonomy classification code for this specialized field is 363As0400X.
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.