Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 175F00000X | Naturopath | 03-748 | AZ |
NPI | 1083737050 |
---|---|
Provider Name | Dr. Sonja Tveit-Pettersen |
First Address | Scottsdale, AZ 85260-2794 |
Second Address | Scottsdale, AZ 85260-2794 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/04/2007 |
Last Update Date | 08/07/2007 |