Individual
MR. TODD W PETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
(949) 383-4190
(949) 383-4183
Mailing address
15785 LAGUNA CANYON RD STE 125, IRVINE, CA 92618-3140
(949) 383-4190
(949) 383-4183
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
39517
CO
Other
Enumeration date
06/27/2005
Last updated
11/13/2019
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