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

Mr. Michael D Peterik, PA

Individual provider Physician Assistant · NPI 1720004245

Mr. Michael D Peterik, PA is a Physician Assistant in Phoenix, Arizona. Licensed in Arizona and New Jersey. Registered with an NPI since 2006.

Licensed in
AZ, NJ
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

4550 E Bell Rd Ste 170
Phoenix, AZ 85032-9306
Phone: (480) 443-8400
Fax: (480) 443-8697
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Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3397 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00155600 (NJ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 3397 (AZ)

Record details

NPI number1720004245
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 15, 2006
Last updated in NPPESApril 16, 2013
Mailing address4550 E Bell Rd, Suite 170, Phoenix, AZ 85032-9306

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