Individual
PETER ANTHONY RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
815 E 15TH ST, DOUGLAS, AZ 85607-1631
(520) 364-5437
(520) 364-4261
Mailing address
1205 N F AVE, DOUGLAS, AZ 85607-1920
(520) 364-6852
(520) 364-4261
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
200200164
NC
208000000X
Pediatrics Physician
Primary
37270
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200200164
STATE LICENSE
NC
05
—
234137
—
AZ
01
—
37270
STATE LICENSE
AZ
Enumeration date
07/12/2006
Last updated
04/14/2020
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