Organization
JEANNETTE PETERSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNETTE PETERSON MD (PRESIDENT)
(707) 422-0543
Entity
Organization
Contact information
Practice address
1261 TRAVIS BLVD, SUITE 100, FAIRFIELD, CA 94533-4897
(707) 422-0543
(707) 422-0549
Mailing address
1261 TRAVIS BLVD, SUITE 100, FAIRFIELD, CA 94533-4897
(707) 422-0543
(707) 422-0549
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A76492
CA
Other
Enumeration date
08/08/2006
Last updated
07/18/2011
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