Dr. Peter Konstantine Raisanen
Naturopath
10444 N 69th St Apt 101
Paradise Valley
, Arizona 85253-1453
Dr. Peter Konstantine Raisanen
Naturopath
10444 N 69th St Apt 101
Paradise Valley
, Arizona 85253-1453
(833) 986-0103
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About
Features
Specialties
- Naturopath
Languages spoken
- English
Location
First Address
- Dr. Peter Konstantine Raisanen
- 10444 N 69th St # 101
- Paradise Valley, AZ
- Zip : 85253-1452
- Fax : (833) 986-0103
- Phone : (480) 256-2436
Second Address
- Dr. Peter Konstantine Raisanen
- 10444 N 69th St Apt 101
- Paradise Valley, AZ
- Zip : 85253-1453
- Fax : (833) 986-0103
- Phone : (480) 256-2436
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 175F00000X | Naturopath | 17-1688 | AZ |
National Provider Identifier
| NPI | 1003352683 |
|---|---|
| Provider Name | Dr. Peter Konstantine Raisanen |
| First Address | Paradise Valley, AZ 85253-1452 |
| Second Address | Paradise Valley, AZ 85253-1453 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/01/2017 |
| Last Update Date | 24/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.