Individual
DR. J PETER ZEGARRA
Active
Individual
DR. J PETER ZEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G52872
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G528720
MEDICARE PTAN
CA
Enumeration date
12/29/2005
Last updated
05/31/2012
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