Richard J Petersen
Medical Specialty
Professional ID
- NPI: 1841431723
- PECOS ID: 3577610393
- Enrollment ID: I20090414000583
- Credential(MD, DO, DPM):
- Medical School: Creighton University School Of Medicine
- Medical School Graduation Year: 1965
Hospital Service
- Hospital CCN1: 030036
- Business Name (LBN)1: Chandler Regional Medical Center
- Hospital CCN2: 030119
- Business Name (LBN)2: Mercy Gilbert Medical Center
- Hospital CCN3: 030136
- Business Name (LBN)3: Dignity Health - Arizona General Hospital
- Hospital CCN4: 030077
- Business Name (LBN)4: San Carlos Apache Healthcare
- Hospital CCN5: 031314
- Business Name (LBN)5: Cobre Valley Regional Medical Center
Medical Practices
- Organization Name: Chandler Radiology Associates Llp
- Group Practice ID assigned by PECOS: 4183600877
- Number of Group Practice member: 29
Location
- Address1: 475 S Dobson Rd
- Address2:
- City: Chandler
- State: Arizona
- Zip Code: 85224
- Phone Number: (602)371-0936
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS):
- Used Electronic health record (EHR):