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Individual
JOSEPH PETERSON
Active
Individual
JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
A180264
CA
207YP0228X
Pediatric Otolaryngology Physician
287217
MA
207YP0228X
Pediatric Otolaryngology Physician
A180264
CA
Other
Enumeration date
06/02/2016
Last updated
09/17/2026
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