TIMOTHY D PETERSON MD PC NPI 1073818555

NPI Information

  • NPI: 1073818555
  • Provider Name: TIMOTHY D PETERSON, MD PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: MOGUL MEDICAL URGENT CARE
  • CLIA Number: 32D2020994
  • Address: 5 FIREHOUSE RD
    TAOS SKI VALLEY, NM
    ZIP 87525
  • Phone: (575) 776-8421

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NPI Details

TIMOTHY D PETERSON, MD PC is an urgent care clinic center in Taos Ski Valley, NM. TIMOTHY D PETERSON, MD PC NPI is 1073818555. The provider is registered as an organization entity type.
The provider Is Doing Business As Mogul Medical Urgent Care.

The provider's business location address is:

5 FIREHOUSE RD
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 - other - urgent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2011 and was last updated on 8/14/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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