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Organization
TYLER PETERSON DO INC
Active
Organization
TYLER PETERSON DO INC
Active
Other names
Peak Medical Tahoe
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER PETERSON (MD/OWNER)
(281) 602-5959
Entity
Organization
Contact information
Practice address
2229 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3411
(530) 539-4781
(530) 238-6403
Mailing address
2229 BARTON AVE, SOUTH LAKE TAHOE, CA 96150-3411
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
09/21/2023
Last updated
03/20/2024
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