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1295881274
MARK PETERSON
FLAGSTAFF, AZ
NPI
1295881274
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 3006)
Enumeration Date
2007-01-25
Last Update Date
2007-07-08
Business Address
-- MARK PETERSON D.O.
1200 N BEAVER ST
FLAGSTAFF, AZ 86001-3118
Phone number: 928-380-0476
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Mailing Address
-- MARK PETERSON D.O.
1050 N SAN FRANCISCO ST STE D
FLAGSTAFF, AZ 86001-3259
Phone number: 928-380-0476
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