Individual
DR. TRENT M PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5470
(928) 771-5471
Mailing address
1003 WILLOW CREEK RD, PRESCOTT, AZ 86301-1641
(928) 771-5470
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
SL1347
NV
208M00000X
Hospitalist Physician
Primary
009008
AZ
Other
Enumeration date
05/09/2018
Last updated
01/03/2022
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