Individual
TIFFANY PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
MSC 10 5560, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Mailing address
MSC 10 5560, UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 87131-0001
(505) 272-5062
(505) 272-6503
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
FP5103849
AK
Other
Enumeration date
03/23/2012
Last updated
11/03/2015
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