Individual
DR. DAVID ALAN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9633 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 639-8900
(919) 639-9500
Mailing address
9633 BITTER MELON DR, ANGIER, NC 27501-5917
(919) 639-8900
(919) 639-9500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A87648
CA
2086S0129X
Vascular Surgery Physician
01080233A
IN
2086S0129X
Vascular Surgery Physician
Primary
2008-00797
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A876480
—
CA
Enumeration date
05/03/2007
Last updated
04/02/2019
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