Dallas Peterson MD Pllc

NPI #1043526569 in Lakeside, Arizona

Provider Information

NPI Number: 1043526569
Entity Type: Organization
Organization Name: Dallas Peterson MD Pllc
Primary Specialty: Family Medicine
Enumeration Date: Aug 21, 2010
Last Updated: Aug 21, 2010

Practice Location

Address: 3401 LOCKWOOD DR
City: Lakeside
State: Arizona
ZIP Code: 85929-5613
Phone: (928) 368-2060

Authorized Official

Name: GINA MARIE CROWE
Title: ADMINISTRATOR
Phone: (928) 537-7011

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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