| Charles S Peterson Md Pc | |
|
5111 N Scottsdale Rd Suite 101 Scottsdale AZ 85250-7075 | |
| (480) 558-3744 | |
| (480) 558-3801 |
| Full Name | Charles S Peterson Md Pc |
|---|---|
| Speciality | Family Medicine - Sports Medicine |
| Location | 5111 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | Charles S Peterson (OWNER PRESIDENT) |
| Authorized Official Contact | 4805583744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charles S Peterson Md Pc Po Box 2507 Mesa AZ 85214-2507 Ph: (480) 558-3744 | Charles S Peterson Md Pc 5111 N Scottsdale Rd Suite 101 Scottsdale AZ 85250-7075 Ph: (480) 558-3744 |
| NPI Number | 1548465750 |
|---|---|
| Provider Enumeration Date | 06/18/2007 |
| Last Update Date | 12/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548465750 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 28027 (Arizona) | Primary |
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