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1831174093
ROBERT D PETERSON
LAKE HAVASU CITY, AZ
NPI
1831174093
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: AZ 48485)
Enumeration Date
2005-12-09
Last Update Date
2016-11-18
Business Address
ROBERT D PETERSON MD
2035 MESQUITE AVE SUITE C
LAKE HAVASU CITY, AZ 86403-5894
Phone number: 928-680-3343
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Mailing Address
ROBERT D PETERSON MD
PO BOX 1969
LAKE HAVASU CITY, AZ 86405-1969
Phone number: 928-680-3343
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