Individual provider · Type 1 NPI

Mary Margaret Petersen, DO

General Practice Physician · Apo, AP

NPI number 1487355459 Active

Practice location

Unit 5071 Box Mdg
Apo, AP 96328-5071

Call (602) 350-6874 Map

Mailing address

7735 N 12th Ave
Phoenix, AZ 85021-7114

Specialties and licenses

TaxonomyCodeLicense
Military Health Care Provider 171000000XNone listed
General Practice Physician Primary 208D00000X011263 (AZ)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1487355459

Mary Margaret Petersen, DO's National Provider Identifier is 1487355459, issued on Mar 15, 2023. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Apo, AP. The record was last updated on Sep 3, 2024.