Individual
PETER C AMENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6567 E CARONDELET DR, SUITE 441, TUCSON, AZ 85710-6152
(520) 751-0360
(520) 751-3723
Mailing address
PO BOX 30370, TUCSON, AZ 85751-0370
(520) 722-0777
(520) 290-9713
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28525
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28525
AZ STATE MEDICAL LICENSE
AZ
05
—
528010
—
AZ
01
—
AZ0769130
BCBSAZ
AZ
Enumeration date
06/19/2006
Last updated
02/22/2010
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