Scott Richard Petersen, M.D.

Trauma Surgery Physician · Phoenix, AZ

Individual Active NPI

NPI number 1912986555

Practice location

500 W Thomas Rd
Suite 400
Phoenix, AZ 85013-4224
Phone
(602) 406-3157
Fax
(602) 406-4113

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NPI record

NPI
1912986555
Entity type
Individual (Type 1)
Enumeration date
January 12, 2006
Last updated
July 19, 2012
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Trauma Surgery Physician Primary 2086S0127X 14414 AZ
Surgery Physician 208600000X 14414 AZ
Surgical Critical Care Physician 2086S0102X 14414 AZ

Mailing address

File 56765
Los Angeles, CA 90074-6765
Phone
(602) 406-3860
Fax
(602) 406-6132

About Dr. Petersen

Scott Richard Petersen, M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Trauma Surgery Physician (code 2086S0127X). The practice location is 500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224. The NPI number 1912986555 was assigned on January 12, 2006 and the record was last updated on July 19, 2012.

Dr. Petersen lists 3 licenses in the registry: #14414 (AZ) for Trauma Surgery Physician; #14414 (AZ) for Surgery Physician; #14414 (AZ) for Surgical Critical Care Physician. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scott Richard Petersen, M.D.?

The NPI number is 1912986555.

What is the phone number of Dr. Petersen?

The phone number listed for the practice location is (602) 406-3157.

Where is Dr. Petersen located?

500 W Thomas Rd, Suite 400, Phoenix, AZ 85013-4224.

What is the taxonomy code for Dr. Petersen?

The primary taxonomy code is 2086S0127X – Trauma Surgery Physician; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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