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Russel Peterson
NPI 1063444933 · on the registry since 2006
Practice
- Address
- 420 S Main St
Snowflake, AZ 85937 - Phone
- (928) 536-2357
Registry record
- Primary taxonomy
- 225100000X
225100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-10-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona