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Contact Information

NICOLAS L PETERS, MD
2204 S DOBSON RD STE 102
MESA, AZ85202-6457
 Phone: 480-485-5166
 Fax: 877-991-6652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Hospitalist

208M00000X
 

Medical Technologist

246QM0706X
 

Pediatric Hematology-Oncology

2080P0207X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for NICOLAS L PETERS · (Male)

NPI Number 1487844791
Status Active
Credentials MD
Entity Individual
Enumeration date 08/01/2007
Last updated 09/20/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • AZ License # 48190
  • NM License # MD2017-0087
  • OH License # 35.094612
  • AZ Medicaid 845215
  • NM Medicaid 98035339
  • OH Medicaid 0070938
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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