Peterson, Charles Smith

Peterson, Charles Smith is an individual health care provider with primary practice located at 3130 E Baseline Rd Suite 101, Mesa AZ 85204-7290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Peterson, Charles Smith can be contacted via phone (480) 558-3744.

Contact Information

Primary practice address
3130 E Baseline Rd Suite 101 Mesa AZ 85204-7290
Phone: (480) 558-3744
Fax: (480) 558-3801
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 28027 Arizona

Profile Details

NPI number 1952302143
LBN Legal business name Peterson, Charles Smith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jul 30th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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