Individual
MR. BRAD MICHAEL PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4001 E BASELINE RD STE 102, GILBERT, AZ 85234-2736
(480) 565-8045
Mailing address
4001 E BASELINE RD STE 102, GILBERT, AZ 85234-2736
(480) 565-8045
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA0889
AZ
Other
Enumeration date
10/19/2012
Last updated
12/11/2024
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