Individual
PETER J. BANGSUND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
111 RALEY BLVD, SUITE 100, CHICO, CA 95928-8351
(530) 894-8800
(530) 894-8929
Mailing address
111 RALEY BLVD, SUITE 100, CHICO, CA 95928-8351
(530) 894-8800
(530) 894-8929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R8077
IA
207RG0100X
Gastroenterology Physician
Primary
A123857
CA
Other
Enumeration date
06/19/2007
Last updated
10/01/2013
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