Individual provider · Type 1 NPI

Alice Ruth Peterson, P.A.-C.

Medical Physician Assistant · Phoenix, AZ

NPI number 1871654418 Active

Practice location

4545 E Chandler Blvd Ste 104
Phoenix, AZ 85048-7647

Call (480) 728-4400 Map

Fax (480) 728-4411

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269

Other practice locations

  • 655 S Dobson Rd Ste B113, Chandler, AZ 85224-5667 · (480) 728-5020

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2837 (AZ)
Physician Assistant 363A00000X2837 (AZ)

Medical Physician Assistant: Definition to come...

5 other providers at this address

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About NPI 1871654418

Alice Ruth Peterson, P.A.-C.'s National Provider Identifier is 1871654418, issued on Dec 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Dec 11, 2024.