Individual
ROY C. PETERSON
Active
Individual
ROY C. PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
G036719
CA
207QA0505X
Adult Medicine Physician
G036719
CA
Other
Enumeration date
02/23/2009
Last updated
03/19/2014
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