Individual
CRAIG MICHAEL PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1215 N BEAVER ST, HEART & VASCULAR CENTER OF NORTHERN ARIZONA, FLAGSTAFF, AZ 86001-3118
(928) 773-2200
(928) 773-2201
Mailing address
1200 N BEAVER ST, PAYER CREDENTIALING, FLAGSTAFF, AZ 86001-3118
(928) 773-2559
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
34.009548
OH
207RC0000X
Cardiovascular Disease Physician
Primary
4577
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210080
—
AZ
Enumeration date
01/09/2007
Last updated
10/21/2015
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