Individual
ERIC PETERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083A0100X
Aerospace Medicine Physician
70554
AZ
2086S0102X
Surgical Critical Care Physician
70554
AZ
2086S0127X
Trauma Surgery Physician
Primary
70554
AZ
Other
Enumeration date
04/09/2015
Last updated
07/24/2023
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