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NATHAN PETERSEN, M.D.
NPI 1336596345
Obstetrics & Gynecology in Glendale, AZ

Active since May 19, 2016
6370 W. UNION HILLS DR., GLENDALE, AZ 85308(623) 414-3500(623) 374-2549 Get Directions Write a Review

NPPES record last updated: May 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Petersen, M.d. NPPES

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

NATHAN PETERSEN, M.D. (NPI 1336596345) is a healthcare organization registered as an obstetrics & gynecology in Glendale, Arizona and active in the NPI registry since May 2016. The organization lists Nathan Jeffrey Petersen, Member, as its authorized official.

NPPES Registry Identity

NPI1336596345
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameTUCKER BAG LLC
Location Address6370 W. UNION HILLS DR.Glendale, AZ 85308
Mailing Address6370 W. Union Hills Dr.Glendale, AZ 85308 · (623) 414-3500 · Fax (623) 374-2549
Phone(623) 414-3500
Fax(623) 374-2549
Organization SubpartNo
Authorized OfficialNathan Jeffrey PetersenMember · (623) 414-3500
Enumeration DateMay 19, 2016
✔ NPI 1336596345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in AZ · 51043
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
6370 W. UNION HILLS DR., Glendale, AZ 85308
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Other Names 1

Doing Business AsNathan Petersen, M.d.

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

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

ALICIA SUE PARKS PA-C
Physician Assistant
6370 W. UNION HILLS DR.
GLENDALE, AZ 85308
Maricopa County (623) 414-3500

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 Tucker Bag LLC's NPI number?

The NPI number for Tucker Bag LLC is 1336596345. It was assigned to this organization in the NPPES registry on May 19, 2016. The provider is doing business as Nathan Petersen, M.D..

Where is Tucker Bag LLC located?

Tucker Bag LLC is located at 6370 W. Union Hills Dr., Glendale, AZ 85308. The listed phone number is (623) 414-3500.

What is Tucker Bag LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Tucker Bag LLC was last updated on May 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.