Individual
PETER CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1763 W 24TH ST, STE 200, YUMA, AZ 85364
(928) 782-5535
(928) 782-9811
Mailing address
1763 W 24TH ST, STE 200, YUMA, AZ 85364
(928) 782-5535
(928) 782-9811
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
20055
AZ
2086S0129X
Vascular Surgery Physician
G77369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020046342
RAILROAD MEDICARE
AZ
05
—
165698
—
AZ
01
—
AZ0386660
BCBS
AZ
Enumeration date
09/19/2006
Last updated
12/17/2009
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