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1831168509
GARY L PETERSEN
MESA, AZ
NPI
1831168509
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: AZ 10050)
Enumeration Date
2006-03-16
Last Update Date
2007-07-08
Business Address
-- GARY L PETERSEN MD
1400 S DOBSON RD
MESA, AZ 85202
Phone number: 480-456-9500
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Mailing Address
-- GARY L PETERSEN MD
PO BOX 7127
PHOENIX, AZ 85011-7127
Phone number: 480-456-9500
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