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Individual

MR. PETER JOHN DORIAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.

Contact information

Practice address
5180 N FRESNO ST, SUITE 102, FRESNO, CA 93710-6853
(559) 224-1344
(559) 224-3814
Mailing address
5180 N FRESNO ST, SUITE 102, FRESNO, CA 93710-6853
(559) 224-1344
(559) 224-3814

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU244
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU244
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ07629Z
MEDICARE INDIVIDUAL TRANSACTION ACCESS NUMBER
CA
01
ZZZ07630Z
MEDICARE GROUP TRANSACTION ACCESS NUMBER
CA
05
ZZZ75041Z
CA
Enumeration date
04/18/2008
Last updated
02/19/2014
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