Search › Arizona › 367500000X
Marc Peterson, CRNA
NPI 1609323260 · on the registry since 2016
Practice
- Address
- 101 Civic Center Lane
Havasu Regional Medical Center
Lake Havasu, AZ 86403 - Phone
- (928) 505-5760
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
163W00000X
163W00000X - Licence states on file
- KS, UT, AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-11-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona