Individual
CHRISTOPHER C PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4059
(325) 245-4059
Mailing address
2142 SUNSET DR, SAN ANGELO, TX 76904-6829
(325) 245-4191
(325) 245-4059
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
P3789
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314692001
—
TX
Enumeration date
08/15/2006
Last updated
08/13/2014
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