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Dallas Peterson MD Pllc

Family Medicine Physician in Lakeside, AZ · enumerated 2010 · authorized official Gina Crowe, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043526569

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Registry record

Entity type Organization (Type 2)
Legal business name Dallas Peterson MD Pllc
Practice address 3401 Lockwood Dr, Lakeside, AZ, 85929
Phone (928) 368-2060
Enumeration date Aug 21, 2010
Last updated in NPPES Aug 21, 2010

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License AZ23268 (AZ) Primary

Authorized official

Name Gina Crowe
Title Administrator
Phone (928) 537-7011

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-08-21. Verify at npiregistry.cms.hhs.gov.
Where is Dallas Peterson MD Pllc located?
The practice location on file with NPPES is in Lakeside, AZ.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-08-21.