Russel R Peterson (NPI# 1063444933, PAC ID# 1456498328) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063444933 |
| PAC ID by PECOS | 1456498328 |
| Professional Enrollment ID | I20110119000600 |
| Full Name | Russel R Peterson |
| Organization Legal Name | WHITE MOUNTAIN PHYSICAL THERAPY LTD |
| Address |
100 W White Mountain Blvd Lakeside AZ 85929-6878 |
| Phone Number | 9283673913 |
| Gender | M |
| Graduation Year | 1996 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0446142111 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 100 W White Mountain Blvd, Lakeside, AZ 85929-6878 | 9283673913 | WHITE MOUNTAIN PHYSICAL THERAPY LTD |
| Organization Legal Name | WHITE MOUNTAIN PHYSICAL THERAPY LTD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Katherine Hegarty | Physical Therapy | White Mountain Physical Therapy Ltd | 4830 Hwy 260 105, Lakeside, AZ 85929-5851 |
| Randy G Whittle | Physical Therapy | White Mountain Physical Therapy Ltd | 29 W Mcneil, Show Low, AZ 85901-5838 |
| Eric Cox | Physical Therapy | White Mountain Physical Therapy Ltd | 29 W Mcneil, Show Low, AZ 85901-5838 |
| Jennifer J Brimhall | Physical Therapy | White Mountain Physical Therapy Ltd | 4830 Hwy 260 105, Lakeside, AZ 85929-5851 |
| Robert D Lesueur | Physical Therapy | White Mountain Physical Therapy Ltd | 29 W Mcneil, Show Low, AZ 85901-5838 |
| Lois Louise Goode | Physical Therapy | White Mountain Physical Therapy Ltd | 100 W White Mountain Blvd, Lakeside, AZ 85929-6878 |
| Michael Lynn Johnson | Physical Therapy | White Mountain Physical Therapy Ltd | 100 W White Mountain Blvd, Lakeside, AZ 85929-6878 |
| Rachel K Ellsworth | Physical Therapy | White Mountain Physical Therapy Ltd | 29 W Mcneil, Show Low, AZ 85901-5838 |
| Street Address |
100 W WHITE MOUNTAIN BLVD |
| City | LAKESIDE |
| State | AZ |
| Zip | 85929-6878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lois Louise Goode | Physical Therapy | White Mountain Physical Therapy Ltd | 100 W White Mountain Blvd, Lakeside, AZ 85929-6878 |
| Michael Lynn Johnson | Physical Therapy | White Mountain Physical Therapy Ltd | 100 W White Mountain Blvd, Lakeside, AZ 85929-6878 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Marie Fischer | Nurse Practitioner | 5658 White Mountain Blvd, Suite 21, Lakeside, AZ 85929-5189 | |
| Kenly L Ries | Chiropractic | 5658 Hwy 260, Suite 1, Lakeside, AZ 85929-5189 | |
| Charles P Robertson | Family Medicine | Lakeside Family Health Center PC | 5658 Hwy 260 24, Lakeside, AZ 85929-5189 |
| Bobette S Martin | Qualified Audiologist | 5658 Hwy 260, Suite 4, Lakeside, AZ 85929-5189 | |
| Elizabeth W Bierer | Family Medicine | Lakeside Family Health Center PC | 5658 Hwy 260 24, Lakeside, AZ 85929-5189 |
| Susan Bligh Robertson | Certified Nurse Midwife | Lakeside Family Health Center PC | 5658 Hwy 260 24, Lakeside, AZ 85929-5189 |
| Mitchell A Major | Pain Management | Savannah Pain Relief LLC | 5658 White Mountain Blvd, Suite 7, Lakeside, AZ 85929-5189 |
| Jeffrey L Moffat | Family Medicine | 5448 S White Mountain Blvd, Suite 270, Lakeside, AZ 85929-5738 | |
| Burke Gary Delange | Vascular Surgery | Summit Healthcare Medical Associates | 5448 S White Mountain Blvd, Stes 200/210, Lakeside, AZ 85929-5739 |
| Jeffrey Rayne Lesueur | Otolaryngology | 5448 Hwy 260 140, Lakeside, AZ 85929-5750 | |
| Find all physicians in zip 85929 | |||
| City | LAKESIDE |
| Zip Code | 85929 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | LAKESIDE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Russel R Peterson.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.