Individual
PETER TAMUNOH TEBOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
4725 N 152ND DR, GOODYEAR, AZ 85395-8394
(216) 544-5418
Mailing address
4725 N 152ND DR, GOODYEAR, AZ 85395-8394
(216) 544-5418
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TAP7740
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024418
—
AZ
Enumeration date
04/14/2015
Last updated
06/08/2021
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