Organization
FORENSIC MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN PETERSON M.D. (MANAGING PARTNER)
(707) 426-4883
Entity
Organization
Contact information
Practice address
1860 PENNSYLVANIA AVE, #150, FAIRFIELD, CA 94533
(707) 426-4883
Mailing address
PO BOX 26060, FRESNO, CA 94533
(559) 455-4000
(559) 455-4007
Taxonomy
Speciality
Code
Description
License number
State
207ZF0201X
Forensic Pathology Physician
Primary
—
CA
Other
Enumeration date
07/13/2006
Last updated
07/21/2022
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