Individual
MRS. DENA E PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4574 N FIRST AVE, SUITE 180, TUCSON, AZ 85718
(520) 293-1415
(520) 293-1434
Mailing address
4574 N FIRST AVE, SUITE 180, TUCSON, AZ 85718
(520) 293-1415
(520) 293-1434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24982
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100823
UHC
—
01
—
10296
PREPCARE
—
01
—
9778467
CIGNA
—
01
—
AZ0817530
BLUE CROSS
AZ
Enumeration date
07/12/2006
Last updated
07/08/2007
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