NPI 1750536611

Dena Petersen, M.D. P.C

Organisation Exclusive Provider Organization Tucson, AZ

Practice location

Address: 4574 N 1st Ave STE 180, Tucson, AZ 85718-5699
Phone: (520) 293-1415
Fax: (520) 293-1434

Authorised official

Name: Dena E Petersen
Title: Owner
Phone: (520) 293-1415

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

Other Exclusive Provider Organization providers in Arizona →

Registry record

NPI: 1750536611
Entity type: Organization
NPI issued: 19 Nov 2008
Record last updated: 2 Dec 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.