Provider Demographics
NPI:1912085002
Name:KAUFER, PETER H (MD)
Entity Type:Individual
Prefix:
First Name:PETER
Middle Name:H
Last Name:KAUFER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1745 E SKYLINE DRIVE
Mailing Address - Street 2:SUITE 175
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-1162
Mailing Address - Country:US
Mailing Address - Phone:520-742-1900
Mailing Address - Fax:520-742-1170
Practice Address - Street 1:1745 E SKYLINE DR
Practice Address - Street 2:SUITE 175
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-1162
Practice Address - Country:US
Practice Address - Phone:520-742-1900
Practice Address - Fax:520-742-1170
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2020-08-27
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ37423207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ257044Medicaid
AZ257044Medicaid
AZ117457Medicare PIN