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Individual
DR. CACEY WILLIAM PETERS
Active
Individual
DR. CACEY WILLIAM PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
67275
AZ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
12888572-1235
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12888572-1205
—
UT
01
—
67275
AZ MEDICAL LICENSE
—
Enumeration date
03/31/2015
Last updated
08/11/2026
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