Individual
CLIFF PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35059 N. 7TH AVE, DESERT HILLS, AZ 85086
(623) 445-4948
Mailing address
2999 N 44TH ST STE 100, PHOENIX, AZ 85018-7247
(602) 795-6400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP038724
AZ
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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