DR. Mark Gordon Peterson, MD

NPI #1629129168 in Winslow, Arizona

Provider Information

NPI Number: 1629129168
Entity Type: Individual
Name: DR. Mark Gordon Peterson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Jan 12, 2007
Last Updated: May 23, 2014

Practice Location

Address: 500 INDIANA AVE
City: Winslow
State: Arizona
ZIP Code: 86047-2169
Phone: (928) 289-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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