Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TIMOTHY D PETERSON, MD
Active Sole ProprietorTIMOTHY D PETERSON, MD is a Emergency Medicine healthcare provider located in TAOS SKI VALLEY, New Mexico. NPI 1528041886 is currently active in the NPPES registry. Verify at CMS.
Emergency Medicine · TAOS SKI VALLEY, NM
Registration Details
- NPI Number
- 1528041886
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 21, 2005 (20.76153871571 yrs)
- Last Updated
- Jul 12, 2016
- Licenses
-
2528 (AK)81-285 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
108 SUTTON PLACETAOS SKI VALLEY, NM, 875250067Browse NM providers · Browse ZIP 87525
- Phone
- 5757668421
- Fax
- 5757768942
- Primary Specialty
-
Emergency Medicine
207P00000X
- Additional Specialty
- Emergency Medicine
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.