Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK GORDON PETERSON, MD
ActiveDR. MARK GORDON PETERSON, MD is a Family Medicine healthcare provider located in WINSLOW, Arizona. NPI 1629129168 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · WINSLOW, AZ
Registration Details
- NPI Number
- 1629129168
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2007 (19.550630033701 yrs)
- Last Updated
- May 23, 2014
- License
-
2304 (AK)
Practice Information
- Address
-
500 INDIANA AVEWINSLOW, AZ, 860472169Browse AZ providers · Browse ZIP 86047
- Phone
- 9282894646
- Fax
- 9282896229
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in WINSLOW, AZ
| Name | Credential | NPI |
|---|---|---|
| SALVADOR T LEE JR. | M.D. | 1083612550 |
| THOMAS E GREENWOOD | M.D. | 1205805090 |
| JOHN J SEARS | MD | 1467412569 |
| DAVID MICHAEL FERGUSON | M.D. | 1336169689 |
| PEARISH J SMITH | MD | 1619998200 |
| PATRICIA MORIKAWA | MD | 1942350012 |
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.