Individual
DR. SPENCER O'BRIEN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2700
Mailing address
4175 S. ALAMO AVE, TUCSON, AZ 85707-4405
(520) 228-2700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
R-07-2016MNT
NM
208000000X
Pediatrics Physician
Primary
11236456-1204
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2016
Last updated
08/10/2020
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