Individual
DR. PETER ALLAN TUXEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1901 N CALIFORNIA ST, STOCKTON, CA 95204-6005
(209) 946-6800
(209) 946-6805
Mailing address
3400 DATA DR, PHYSICIAN SUPPORT SERVICES - 2ND FLOOR, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G21105
CA
Other
Enumeration date
05/01/2006
Last updated
08/05/2014
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