Timothy D Peterson, MD
Emergency Medicine in Taos Ski Valley, NM. Individual provider (NPI-1).
NPI number1528041886
StatusActive
Last updated in NPPESJul 12, 2016
Details
- NPI
- 1528041886
- Entity type
- Individual (NPI-1)
- Name
- Timothy D Peterson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 21, 2005
- Last updated
- Jul 12, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 81-285 | NM | Yes |
| 207P00000X | Emergency Medicine | 2528 | AK |
Practice location
108 Sutton PlaceTaos Ski Valley, NM 87525-0067
Phone 575-766-8421 · Fax 575-776-8942
Mailing address
Po Box 67108 Sutton Place
Taos Ski Valley, NM 87525-0067
Phone 575-766-8421 · Fax 575-776-8942
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