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Russel Peterson

Russel Peterson is a health care provider specializes in Physical Therapist. He is associated with medical group practice WHITE MOUNTAIN PHYSICAL THERAPY LTD.

profile-icon Basic Information

Practice Location 420 S Main St, Snowflake, AZ 85937-5246, US
Practice Location Phone928-536-2357
Practice Location Fax
Specialty InPhysical Therapist
Medical SchoolOther
Graduation Year1996
NPI ?1063444933
PECOS ID1456498328
Enrollment IDI20110119000600
Entity TypeIndividual
Enumeration Date ? Jul 7, 2006
Last Update Date ? Oct 24, 2007
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Russel Peterson

SpecialtySpecializationLicenseLicense State
Physical Therapist 3705Arizona

Medicare-icon Medicare Participation of Russel Peterson

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Russel Peterson

Medical Group PracticeWhite Mountain Physical Therapy Ltd