Individual
DR. NICOLAS LEE PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2204 S DOBSON RD STE 102, MESA, AZ 85202-6457
(480) 485-5166
(877) 991-6652
Mailing address
70 S VAL VISTA DR STE A3-618, GILBERT, AZ 85296-1374
(480) 485-5166
(877) 991-6652
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
35.094612
OH
208000000X
Pediatrics Physician
48190
AZ
208000000X
Pediatrics Physician
Primary
MD2017-0087
NM
2080P0207X
Pediatric Hematology & Oncology Physician
35.094612
OH
2080P0207X
Pediatric Hematology & Oncology Physician
48190
AZ
208M00000X
Hospitalist Physician
48190
AZ
208M00000X
Hospitalist Physician
MD2017-0087
NM
246QM0706X
Medical Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0070938
—
OH
05
—
845215
—
AZ
05
—
98035339
—
NM
Enumeration date
08/01/2007
Last updated
09/20/2025
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