NPI | 1336596345 |
---|---|
Doing Business As | NATHAN PETERSEN, M.D. |
Entity Type | Organization |
Authorized Contact | NATHAN JEFFREY PETERSEN Member 623-414-3500 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: AZ 51043) |
Enumeration Date | 2016-05-19 |
Last Update Date | 2016-05-19 |