Dr TIMOTHY D PETERSON MD is a male medical professional, specializing in Emergency Medicine. He graduated in 1980 from University Of Illinois At Chicago Health Science Center.
TIMOTHY D PETERSON, MD PC
108 SUTTON PLACE
TAOS SKI VALLEY
NM
875250000
Tel: 5757768421
| Npi | 1528041886 |
| Pac Id | 1951355841 |
| Professional Enrollment Id | I20050330000829 |
| Last Name | PETERSON |
| First Name | TIMOTHY |
| Middle Name | D |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCE CENTER |
| Graduation Year | 1980 |
| Primary Specialty | EMERGENCY MEDICINE |
| Secondary Specialty 1 | FAMILY MEDICINE |
| Secondary Specialty 2 | |
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| All Secondary Specialties | FAMILY MEDICINE |
| Organization Legal Name | TIMOTHY D PETERSON, MD PC |
| Group Practice Pac Id | 5799805040 |
| Number Of Group Practice Members | 4 |
| Line 1 Street Address | 108 SUTTON PLACE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | TAOS SKI VALLEY |
| State | NM |
| Zip Code | 875250000 |
| Phone Number | 5757768421 |
| Hospital Affiliation Ccn 1 | 020008 |
| Hospital Affiliation Lbn 1 | BARTLETT REGIONAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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