Individual
DR. TIMOTHY DOUGLAS PETERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 AIRPARK DR, SUITE #305, REDDING, CA 96001-2449
(530) 241-8822
(530) 241-0746
Mailing address
2510 AIRPARK DR, SUITE #305, REDDING, CA 96001-2449
(530) 241-8822
(530) 241-0746
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
G76391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G763910
—
CA
Enumeration date
05/16/2006
Last updated
07/08/2007
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