Individual provider · Type 1 NPI
Richard Nicholas Peterson, PA
Medical Physician Assistant · Eloy, AZ
NPI number
1386949659
Active
Practice location
1705 E Hanna Rd
Eloy, AZ 85131-9612
Mailing address
1932 S Falcon Dr
Gilbert, AZ 85295-5869
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 4680 (AZ) |
Medical Physician Assistant: Definition to come...
4 other providers at this address
About NPI 1386949659
Richard Nicholas Peterson, PA's National Provider Identifier is 1386949659, issued on Jan 18, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Eloy, AZ. The record was last updated on Jan 18, 2011.