SPENCER GIRARD PETERSON NPI 1376186858

NPI Information

NPI: 1376186858
Provider Name: SPENCER GIRARD PETERSON
Classification: Specialist/Technologist - 2255R0406X
Entity Type: Individual

Specialization: Rehabilitation, Blind

Address:
500 N US HIGHWAY 89
PRESCOTT, AZ
ZIP 86313
Phone: (928) 776-6018
Get Directions

Spencer Girard Peterson is a rehabilitation and blind specialist technologist in Prescott, AZ. Spencer Girard Peterson NPI is 1376186858. 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:

500 N US HIGHWAY 89
PRESCOTT, AZ
ZIP 86313-001
Phone: (928) 776-6018
Fax: (928) 717-7596

The enumeration date for this NPI number is 10/28/2019 and was last updated on 10/28/2019.

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
1	2255R0406X	Specialist/Technologist	Rehabilitation, Blind			Yes

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: 5/5/2024

NPI Synchronization or Removal

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