TIMOTHY D PETERSON, MD PC is an adult medicine family medicine in Taos Ski Valley, NM. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. TIMOTHY D PETERSON, MD PC NPI is 1073818555. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mogul Medical Urgent Care.
The provider's business location address is:
108 SUTTON PLACE
TAOS SKI VALLEY, NM
ZIP 87525
Phone: (575) 776-8421
Fax: (575) 776-8942
The provider's authorized official is Linda C Lynch .
The authorized official title is Clinical Director and has the following contact phone number (575) 776-8421.
The CLIA number assigned to this NPI record is 32D2020994 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/14/2011 and was last updated on 12/22/2021.