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1518973429
RICHARD PETERSON
PHOENIX, AZ
NPI
1518973429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: AZ 20037)
Enumeration Date
2006-07-31
Last Update Date
2007-07-08
Business Address
RICHARD PETERSON MD
2601 E ROOSEVELT ST
PHOENIX, AZ 85008-4973
Phone number: 602-344-1015
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Mailing Address
RICHARD PETERSON MD
3255 E ELWOOD ST #110
PHOENIX, AZ 85034-7256
Phone number: 602-470-5043
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