Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 009014 | AZ |
NPI | 1013457662 |
---|---|
Provider Name | Dr. Peter Harris Sigal |
First Address | Henderson, NV 89074-7759 |
Second Address | Phoenix, AZ 85021-5099 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2017 |
Last Update Date | 27/07/2021 |