Individual provider · Type 1 NPI
Charles Smith Peterson, MD
Sports Medicine (Family Medicine) Physician · Mesa, AZ
Practice location
3130 E Baseline Rd, Suite 101
Mesa, AZ 85204-7290
Fax (480) 558-3801
Mailing address
8630 E Via De Ventura Ste 201
Scottsdale, AZ 85258-3358
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine (Family Medicine) Physician Primary | 207QS0010X | 28027 (AZ) |
Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…
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About NPI 1952302143
Charles Smith Peterson, MD's National Provider Identifier is 1952302143, issued on Aug 10, 2005. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Mesa, AZ. The record was last updated on Jul 30, 2019.