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1952302143
CHARLES SMITH PETERSON
MESA, AZ
NPI
1952302143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
(Licence: AZ 28027)
Enumeration Date
2005-08-10
Last Update Date
2019-07-30
Business Address
Dr. CHARLES SMITH PETERSON M.D.
3130 E BASELINE RD SUITE 101
MESA, AZ 85204-7290
Phone number: 480-558-3744
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Mailing Address
Dr. CHARLES SMITH PETERSON M.D.
8630 E VIA DE VENTURA STE 201
SCOTTSDALE, AZ 85258-3358
Phone number: 480-558-3744
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