Provider Type Icon

CHRISTOPHER LUKE PETERSON D.O. NPI 1972940120


NPI Information

NPI: 1972940120
Provider Name: CHRISTOPHER LUKE PETERSON, D.O.
Classification: Family Medicine - 207QA0401X
Entity Type: Individual

Specialization: Addiction Medicine

PECOS Registration: Yes

Address:
1300 N 12TH ST STE 608
PHOENIX, AZ
ZIP 85006
Phone: (602) 839-4567
Get Directions

Christopher Luke Peterson, D.O. is an addiction medicine family medicine in Phoenix, AZ. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. Christopher Luke Peterson, D.O. NPI is 1972940120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 N 12TH ST STE 608
PHOENIX, AZ
ZIP 85006-850
Phone: (602) 839-4567
Fax: (602) 839-2232

The NPI 1972940120 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2013 and was last updated on 10/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineOP60645620WASHINGTONNo
2207QA0401XFamily MedicineAddiction Medicine006793ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.