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NPI Code Detail

MEDICARE: PEYTON WAHL

MEDICARE: PEYTON WAHL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramAZ

General Provider Information

NPI Number : 1942146923
Entity Type Code : Individual
Provider Name (Legal Business Name) : PEYTON WAHL
Provider Business Mailing Address
First Line : 7301 E 2ND ST STE 210
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-5620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7301 E 2ND ST STE 210
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85251-5620
Country : US
Telephone Number : 480-534-4515
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2026
Last Update Date : 04/24/2026

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Directions to “ PEYTON WAHL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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