Individual
STEPHEN LYNN PETERSON II
Active
Individual
STEPHEN LYNN PETERSON II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
005988
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
1945208
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
480036
AHCCCS
AZ
Enumeration date
01/13/2019
Last updated
09/20/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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