Individual
DR. RAYMOND MACDONALD PETERSON I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD MPH
Contact information
Practice address
5663 GLENSTONE WAY, SAN DIEGO, CA 92121-4332
(858) 546-9094
Mailing address
5663 GLENSTONE WAY, SAN DIEGO, CA 92121-4332
(858) 546-9094
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
C24795
CA
Other
Enumeration date
11/24/2006
Last updated
07/08/2007
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