Individual
DR. GREGORY WAYNE PETERSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10371 N ORACLE RD, SUITE 205, ORO VALLEY, AZ 85737-9392
(520) 229-1900
(520) 742-2900
Mailing address
10371 N ORACLE RD, SUITE 205, ORO VALLEY, AZ 85737-9392
(520) 229-1900
(520) 742-2900
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
3714
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3714
AZ MEDICAL LICENSE
AZ
Enumeration date
03/05/2007
Last updated
07/08/2007
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