Individual
NEAL CHRISTOPHER PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
34800 BOB WILSON DR, SAN DIEGO, CA 92134-1098
(619) 532-6400
Mailing address
NAVY MEDICAL READINESS & TRAINING COMMAND, 1145 STURGIS ROAD, TWENTYNINE PALMS, CA 92278-8275
(760) 830-2117
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN208944
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
RN208944
MD
Other
Enumeration date
05/14/2021
Last updated
09/12/2024
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