Provider Demographics
NPI:1811106842
Name:PETERS, CHRISTIAN KLINE (DO)
Entity type:Individual
Prefix:DR
First Name:CHRISTIAN
Middle Name:KLINE
Last Name:PETERS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:6070 W DESERT MARIGOLD LN
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85742-8233
Mailing Address - Country:US
Mailing Address - Phone:520-572-2450
Mailing Address - Fax:520-572-2455
Practice Address - Street 1:6070 W DESERT MARIGOLD LN
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85742-8233
Practice Address - Country:US
Practice Address - Phone:520-572-2450
Practice Address - Fax:520-579-9524
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ07-474225-H2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine