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Individual
DR. CHARLES SMITH PETERSON
Active
Individual
DR. CHARLES SMITH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
28027
AZ
Other
Enumeration date
08/10/2005
Last updated
07/30/2019
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