Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREGORY WAYNE PETERSBURG, D.O.
Active Sole ProprietorDR. GREGORY WAYNE PETERSBURG, D.O. is a Adolescent Medicine healthcare provider located in ORO VALLEY, Arizona. NPI 1225167281 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · ORO VALLEY, AZ
Registration Details
- NPI Number
- 1225167281
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 5, 2007 (19.462962032411 yrs)
- Last Updated
- Jul 8, 2007
- License
-
3714 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10371 N ORACLE RDSUITE 205ORO VALLEY, AZ, 857379392Browse AZ providers · Browse ZIP 85737
- Phone
- 5202291900
- Fax
- 5207422900
- Primary Specialty
-
Adolescent Medicine
207QA0505X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.