Individual
DR. JAMES ALLEN KRAFT PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
20A8715
CA
2085R0202X
Diagnostic Radiology Physician
Primary
20A8715
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1376545863
—
CA
05
—
1376545863
—
NV
01
—
P01361869
RR MEDICARE DRS
CA
01
—
P01361871
RR MEDICARE DR
CA
Enumeration date
08/15/2005
Last updated
11/05/2014
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