Individual
ROBERT D PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2035 MESQUITE AVE, SUITE C, LAKE HAVASU CITY, AZ 86403-5894
(928) 680-3343
(928) 680-3342
Mailing address
PO BOX 1969, LAKE HAVASU CITY, AZ 86405-1969
(928) 680-3343
(928) 680-3342
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
48485
AZ
Other
Enumeration date
12/09/2005
Last updated
11/18/2016
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