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MR. CHAD GARTH PETERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNA

Contact information

Practice address
1800 E VAN BUREN ST, PHOENIX, AZ 85006-3742
(602) 251-8100
Mailing address
1754 E BALSAM PL, CHANDLER, AZ 85286-2100
(480) 772-9425

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0617
AZ

Other

Enumeration date
10/09/2007
Last updated
03/17/2018
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