Individual
PETER S UZELAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 S ELISEO DR STE 107, ATTN: JAIMIE VIGIL, GREENBRAE, CA 94904-2017
(415) 925-9404
(415) 484-7045
Mailing address
1100 S ELISEO DR STE 107, ATTN: JAIMIE VIGIL, GREENBRAE, CA 94904-2017
(415) 925-9404
(415) 484-7045
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
A72448
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000480316
ANTHEM PSC
KY
05
—
200878600
—
IN
01
—
50011330
PASSPORT SPECIALITY PSC
KY
01
—
50011331
PASSPORT SPECIALITY- FOUNDATION
KY
01
—
50011332
PASSPORT PCP FOUNDATION
KY
05
—
64120736
—
KY
Enumeration date
06/13/2005
Last updated
02/05/2014
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