# MRS. DENA E PETERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1134154768
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 24982 | AZ | Yes |

## Other

- **Enumeration date:** 07/12/2006
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0100823 | UHC | — |
| 01 | — | 10296 | PREPCARE | — |
| 01 | — | 9778467 | CIGNA | — |
| 01 | — | AZ0817530 | BLUE CROSS | AZ |