Individual
DR. THOMAS JOSEPH PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
P.O. BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
9582
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
203943
—
AZ
Enumeration date
07/15/2005
Last updated
06/16/2011
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