Individual
JOSEPH PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2600
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(201) 663-2965
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
287217
MA
Other
Enumeration date
06/02/2016
Last updated
08/02/2022
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