# PETE S COURY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1598751497
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 27809 | AZ | Yes |

## Other

- **Enumeration date:** 09/26/2005
- **Last updated:** 12/31/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AZ0763830 | BLUE CROSS BLUE SHIELD | AZ |
| 01 | — | POO161560 | RAILROAD MEDICARE | AZ |
| 01 | — | Z83970 | PTAN | — |