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Organization
J PETERSEN MD INC
Active
Organization
J PETERSEN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETERSEN IV MD (OWNER)
(831) 649-1000
Entity
Organization
Contact information
Practice address
450 E ROMIE LN, SALINAS, CA 93901-4029
(831) 759-1840
Mailing address
100 WILSON RD, SUITE 100, MONTEREY, CA 93940-7885
(831) 649-1000
(831) 649-4961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G74917
CA
Other
Enumeration date
08/24/2006
Last updated
09/08/2010
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