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Organization
STEVEN H. PETERSON, M.D., INC.
Active
Organization
STEVEN H. PETERSON, M.D., INC.
Active
Other names
Foothill Orthopaedic Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN H PETERSON M.D. (PRESIDENT)
(209) 532-6961
Entity
Organization
Contact information
Practice address
691 PAULINE CT, SONORA, CA 95370-5216
(209) 532-6961
(209) 532-0537
Mailing address
691 PAULINE CT, SONORA, CA 95370-5216
(209) 532-6961
(209) 532-0537
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G43320
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G43320
—
CA
01
—
G43320
STATE LICENSE NUMBER
CA
Enumeration date
05/08/2007
Last updated
08/22/2020
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