Individual
MR. PETER TRETHEWEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Contact information
Practice address
4232 W BELL RD, SUITE C1, GLENDALE, AZ 85308-4027
(602) 639-4535
(602) 942-4717
Mailing address
1250 S CLEARVIEW AVE, SUITE 100, MESA, AZ 85209-3378
(480) 988-9108
(480) 813-4460
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2138
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
921793
—
AZ
01
—
Z75233
MEDICARE PTAN
AZ
Enumeration date
09/26/2006
Last updated
11/06/2014
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