Dena Petersen, M.d. P.c

NPI #1750536611 in Tucson, Arizona

Provider Information

NPI Number
1750536611
Entity Type
Organization
Organization Name
Dena Petersen, M.d. P.c
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Nov 19, 2008
Last Updated
Dec 2, 2008

Practice Location

Address
4574 N 1ST AVE STE 180
City
Tucson
State
Arizona
ZIP Code
85718-5699
Phone
(520) 293-1415

Authorized Official

Name
MRS. DENA E PETERSEN, M.D.
Title
OWNER
Phone
(520) 293-1415

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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