1. Home
  2. Directory
  3. Arizona
  4. Lakeside
  5. Family Medicine
  6. NPI Profile

DALLAS PETERSON MD PLLC
NPI 1043526569
Family Medicine in Lakeside, AZ

Active since August 21, 2010
3401 LOCKWOOD DR, LAKESIDE, AZ 85929(928) 368-2060 Get Directions Write a Review

NPPES record last updated: August 21, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dallas Peterson Md Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALLAS PETERSON MD PLLC (NPI 1043526569) is a healthcare organization registered as a family medicine in Lakeside, Arizona and active in the NPI registry since August 2010. The organization lists Gina Marie Crowe, Administrator, as its authorized official.

NPPES Registry Identity

NPI1043526569
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDALLAS PETERSON MD PLLC
Location Address3401 LOCKWOOD DRLakeside, AZ 85929-5613
Mailing Address1600 S White Mountain RdShow Low, AZ 85901-7106 · (928) 537-7011 · Fax (928) 251-1063
Phone(928) 368-2060
Organization SubpartNo
Authorized OfficialGina Marie CroweAdministrator · (928) 537-7011
Enumeration DateAugust 21, 2010
✔ NPI 1043526569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · AZ23268
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3401 LOCKWOOD DR, Lakeside, AZ 85929
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LWN MEDICAL PLLC
Skilled Nursing Facility
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060
SARAH LINDSTROM
Occupational Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060
HAVEN OF LAKESIDE, LLC
Skilled Nursing Facility
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (801) 296-5100
KIMBERLY FLETCHER
Physical Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060
WHITE MOUNTAIN MEDICAL CONSULTANTS LLC
Family Medicine
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060
MRS. KIMBERLY ANN SEARLES COTA/L
Occupational Therapy Assistant
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (602) 718-6750
SIERRA BLANCA REHABILITATION LLC
Skilled Nursing Facility
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060
MS. KATHLEEN ELIZABETH HEISER SLPA
Specialist/Technologist (Speech-Language Assistant)
3401 LOCKWOOD DR
LAKESIDE, AZ 85929
Navajo County (928) 368-2060

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dallas Peterson MD PLLC's NPI number?

The NPI number for Dallas Peterson MD PLLC is 1043526569. It was assigned to this organization in the NPPES registry on August 21, 2010.

Where is Dallas Peterson MD PLLC located?

Dallas Peterson MD PLLC is located at 3401 Lockwood Dr, Lakeside, AZ 85929. The listed phone number is (928) 368-2060.

What is Dallas Peterson MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Dallas Peterson MD PLLC was last updated on August 21, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.