MEDICARE: PETER DUONG PA

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
1	363A00000X	Physician Assistant	10938	AZ

General Provider Information

NPI Number	:	1336964022
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER DUONG PA

Provider Business Mailing Address
First Line	:	4135 S POWER RD STE 129
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85212-3627
Country	:	US
Telephone Number	:	480-751-3091
Fax Number	:	480-840-9320

Provider Business Practice Location Address
First Line	:	560 N CAMINO MERCADO STE 7
Second Line	:
City	:	CASA GRANDE
State	:	AZ
Zip	:	85122-5759
Country	:	US
Telephone Number	:	520-836-5538
Fax Number	:	844-772-0049

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2024
Last Update Date	:	05/27/2026

Similar Medicare Providers

1205603297 — CHRISTINA BUGLIARELLO
Practice Location Address:

560 N CAMINO MERCADO STE 7
CASA GRANDE, AZ
85122-5759

Practice Phone: 520-836-5538
Practice Fax: 844-722-0049

1215923453 — DR. LATRECIA M HERRING M.D.
Practice Location Address:

560 N CAMINO MERCADO , SUITE 7
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Practice Fax: 520-836-6998

1194711333 — DENISE C SARSAM RN,MSN,FNP
Practice Location Address:

560 N CAMINO MERCADO , SUITE 7
CASA GRANDE, AZ
85122-5759

Practice Phone: 520-836-5538
Practice Fax: 520-836-6998

1467448605 — CYNTHIA MARLENE HOEFT RN,MSN,FNP-C
Practice Location Address:

560 N CAMINO MERCADO , SUITE 7
CASA GRANDE, AZ
85122-5759

Practice Phone: 520-836-5538
Practice Fax: 520-836-6998

1215923206 — MR. CRAIG W CONNOR PA-C
Practice Location Address:

560 N CAMINO MERCADO , SUITE 7
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1972575140 — AARON M PETERSEN MD
Practice Location Address:

560 N CAMINO MERCADO STE 1
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85122-5759

Practice Phone: 520-426-9224
Practice Fax: 602-508-4830

Directions to “ PETER DUONG PA” Practice Location

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