NPI 1487355459

Mary Margaret Petersen, DO

Practitioner General Practice Physician Apo, AP

Practice location

Address: Unit 5071 Box Mdg, Apo, AP 96328-5071
Phone: (602) 350-6874
Mailing address: 7735 N 12th Ave, Phoenix, AZ 85021-7114

Registered specialties (2)

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X Licence 011263 (AZ)

Other General Practice providers in Armed Forces Pacific →

Military Health Care Provider

Other Service Providers Taxonomy 171000000X

Other Military Health Care Provider providers in Armed Forces Pacific →

Registry record

NPI: 1487355459
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Mar 2023
Record last updated: 3 Sep 2024

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.