Doctor Name: | CRAIG MICHAEL PETERS |
NPI Number: | 1023167384 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 34.009548 |
Business Practice Address: | 1215 N Beaver St Heart & Vascular Center Of Northern Arizona Flagstaff, AZ - 860013118 |
Business Phone Number: | 9287732200 |
Business Fax Number: | 9287732201 |
Mailing Address: | 1200 N Beaver St, Payer Credentialing FLAGSTAFF |
State: | AZ |
Postal Code: | 860013118 |
Phone Number: | 9287732559 |
Fax Number: | 9282136292 |
NPI Enumeration Date: | 01/09/2007 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 34.009548 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |