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

Dr. Timothy John Peterson, MD

Individual provider Family Medicine Physician · NPI 1194862433

Dr. Timothy John Peterson, MD is a Family Medicine Physician in Phoenix, Arizona. Licensed in Arizona, Minnesota and Wisconsin. Registered with an NPI since 2007.

Licensed in
AZ, MN, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3141 N 3rd Ave Ste 100
Phoenix, AZ 85013-4351
Phone: (602) 331-5174
Fax: (602) 745-7950
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Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 15942 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 20764 (WI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 22229 (MN)

Record details

NPI number1194862433
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESApril 2, 2009

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