Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dallas Peterson MD PLLC

Organization Family Medicine Physician · NPI 1043526569

Dallas Peterson MD PLLC is a Family Medicine Physician in Lakeside, Arizona. Medicare rates this nursing home 1 out of 5. Licensed in Arizona.

CMS rating
1 of 5
Licensed in
AZ
In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

1 out of 5 — official nursing home rating from CMS Care Compare (CCN 035277)
Health inspection1.0 / 5
Staffing3.0 / 5
Quality measures1.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

3401 Lockwood Dr
Lakeside, AZ 85929-5613
Phone: (928) 368-2060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence AZ23268 (AZ)

Record details

NPI number1043526569
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gina Crowe — Administrator · (928) 537-7011
NPI enumeratedAugust 21, 2010
Last updated in NPPESAugust 21, 2010
Mailing address1600 S White Mountain Rd, Show Low, AZ 85901-7106

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