L Staffan Pettersson, MD Valid NPI

Individual provider · Internal Medicine Physician · Peoria, AZ

NPI

1205880861

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

26390 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2006-05-19

Last updated

2008-01-24