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

Miss. Alice Ruth Peterson, PA-C

Individual provider Medical Physician Assistant · NPI 1871654418

Miss. Alice Ruth Peterson, PA-C is a Physician Assistant in Phoenix, Arizona. Graduated from Arizona College of Osteopathic Medicine Mid Western University in 2003, 23 years ago. Practices with Sjhmc Physician Services, a 665-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
23
Trained at
Arizona College of Osteopathic Medicine Mid Western University
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4545 E Chandler Blvd Ste 104
Phoenix, AZ 85048-7647
Phone: (480) 728-4400
Fax: (480) 728-4411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 655 S Dobson Rd Ste B113, Chandler, AZ 85224-5667 — (480) 728-5020

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 2837 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 2837 (AZ)

Record details

NPI number1871654418
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 13, 2006
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Graduated 2003 (23 years in practice)
Group practice Sjhmc Physician Services — 665 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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