DR. Charles Smith Peterson, M.D.

NPI #1952302143 in Mesa, Arizona

Provider Information

NPI Number
1952302143
Entity Type
Individual
Name
DR. Charles Smith Peterson, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine - Sports Medicine
Credential
M.D.
Enumeration Date
Aug 10, 2005
Last Updated
Jul 30, 2019

Practice Location

Address
3130 E BASELINE RD
Address 2
SUITE 101
City
Mesa
State
Arizona
ZIP Code
85204-7290
Phone
(480) 558-3744

Specialties & Taxonomy Codes

Specialty
Family Medicine - Sports MedicineSports Medicine

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