Individual
DR. VICTOR M PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
OFF HWY 191 HOSPITAL ROAD, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Mailing address
PO DRAWER PH, CHINLE, AZ 86503
(928) 674-7001
(928) 674-7705
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD-302
CO
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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