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Organization
KENNETH PERCY PETERSON, MD, INC.
Active
Organization
KENNETH PERCY PETERSON, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH PERCY PETERSON MD (PRESIDENT)
(805) 796-4595
Entity
Organization
Contact information
Practice address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Mailing address
12155 MESQUITE ST, OAK HILLS, CA 92344-7903
(805) 796-4595
(760) 662-5711
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
C50553
CA
Other
Enumeration date
02/10/2015
Last updated
02/10/2015
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