IndividualActive
Peter Jeppson, MD
NPI 1487879987 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Mesa, AZ
Provider details
- NPI number
- 1487879987
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD2013-0172 (NM)
Practice location
4344 E Presidio St
Mesa, AZ 85215-1143
Phone: (480) 834-5111
Fax: (480) 834-5222
Mailing address
800 Bradbury Dr Se Ste 116
Albuquerque, NM 87106-4310
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2025-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.