Individual
DR. JAMES ANDERS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARMD BCPS BCPP
Contact information
Practice address
5203 E CORONADO CIRCLE, PHOENIX, AZ 85044-2336
(480) 893-6908
Mailing address
5203 E CORONADO CIR, PHOENIX, AZ 85044-2336
(480) 893-6908
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
0051-036224
IL
1835P1200X
Pharmacotherapy Pharmacist
Primary
9155
AZ
1835P1300X
Psychiatric Pharmacist
0051-036224
IL
1835P1300X
Psychiatric Pharmacist
9155
AZ
Other
Enumeration date
04/05/2007
Last updated
08/30/2007
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