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Individual

DR. STEVEN PERETIATKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1303 MABLE AVE, MODESTO, CA 95355-1119
(209) 857-3400
(818) 671-2225
Mailing address
PO BOX 872, AGOURA HILLS, CA 91376-0872
(818) 518-7226

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A190660
CA

Other

Enumeration date
03/21/2019
Last updated
11/15/2024
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