TUCKER BAG LLC

GLENDALE, AZ
NPI1336596345
Doing Business AsNATHAN PETERSEN, M.D.
Entity TypeOrganization
Authorized ContactNATHAN JEFFREY PETERSEN
Member
623-414-3500
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: AZ  51043)
Enumeration Date2016-05-19
Last Update Date2016-05-19
Business Address
TUCKER BAG LLC
6370 W. UNION HILLS DR.
GLENDALE, AZ 85308
Phone number: 623-414-3500
Mailing Address
TUCKER BAG LLC
6370 W. UNION HILLS DR.
GLENDALE, AZ 85308
Phone number: 623-414-3500