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Contact Information

SCOTT R PETERSEN, MD
500 W THOMAS RD
SUITE 400
PHOENIX, AZ85013-4224
 Phone: 602-406-3157
 Fax: 602-406-4113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Trauma Surgery

2086S0127X 02 Physician/General Surgery
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Critical Care

2086S0102X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for SCOTT R PETERSEN · (Male)

NPI # 1912986555
Status Active
Credentials MD
Entity Individual
Enumeration date 01/12/2006
Last updated 07/19/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 14414
  • AZ Medicaid 231720
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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