Organization
B D PETERSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB D PETERSON MD (PRESIDENT)
(209) 838-6015
Entity
Organization
Contact information
Practice address
2390 JACKSON AVE, ESCALON, CA 95320-2078
(209) 838-6015
(209) 838-0750
Mailing address
2390 JACKSON AVE, ESCALON, CA 95320-2078
(209) 838-6015
(209) 838-0750
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G66903
CA
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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