Dr. Jayne Marie Peterson, M.D.
Internal Medicine in Phoenix, AZ. Individual provider (NPI-1).
NPI number1124084397
StatusActive
Last updated in NPPESMay 19, 2011
Details
- NPI
- 1124084397
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jayne Marie Peterson
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2006
- Last updated
- May 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 18828 | AZ | Yes |
Practice location
1300 N 12th StreetSuite 508
Phoenix, AZ 85006-2849
Phone 602-839-3927 · Fax 602-839-4233
Mailing address
1300 N 12th StreetSuite 508
Phoenix, AZ 85006-2849
Phone 602-839-3927 · Fax 602-839-4233
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