Individual
DR. PAULA C PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6215
(520) 327-9546
Mailing address
440 N ALVERNON WAY, TUCSON, AZ 85711-1958
(520) 327-6215
(520) 327-9546
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
AZ0477
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034421
—
AZ
Enumeration date
08/31/2006
Last updated
05/14/2010
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