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Search › Arizona › 183500000X

Wayne Peterson, R.PH

NPI 1497032692 · on the registry since 2011 · sole proprietor

Practice

Address
17550 N 79th Ave
Glendale, AZ 85308
Phone
(623) 776-4002
Fax
(623) 776-4021
Organisation at this address
Arrowhead Optometry
Costco Wholesale Corporation
Costco Wholesale Corporation
Costco Wholesale Corporation
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
AZ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-16

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