Individual
DR. STEPHEN ROY PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 779-3366
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
24841
AZ
207R00000X
Internal Medicine Physician
24841
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765555
—
AZ
Enumeration date
08/05/2006
Last updated
04/17/2024
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