Individual
DR. RICHARD TAFT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2601 E ROOSEVELT ST, PHOENIX, AZ 85008-4973
(602) 344-5011
Mailing address
711 N TATUM LN, GILBERT, AZ 85234-3122
(480) 404-0296
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
010687
AZ
207P00000X
Emergency Medicine Physician
Primary
10867
AZ
207P00000X
Emergency Medicine Physician
TP357
KY
Other
Enumeration date
03/22/2021
Last updated
08/01/2025
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