Peterson, Todd G
Peterson, Todd G is an individual health care provider with primary practice located at 6247 E. Main Street Suite 8, Mesa AZ 85205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Peterson, Todd G can be contacted via phone (480) 981-9151.Contact Information
Primary practice address
6247 E. Main Street Suite 8
Mesa AZ 85205
Phone: (480) 981-9151
Fax: (480) 981-0527
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 18599 | Arizona |
Profile Details
| NPI number | 1083651731 |
|---|---|
| LBN Legal business name | Peterson, Todd G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | May 1st, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083651731 | NPPES |
| Arizona | MEDICAID | 286410 |
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