Organization
GERALD E. PETERS, M.D., INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. ROBERT WEST M.D. (PRESIDENT)
(909) 335-8649
Entity
Organization
Contact information
Practice address
6700 N 1ST ST, SUITE 131, FRESNO, CA 93710-3900
(559) 432-3333
(559) 432-3336
Mailing address
101 E REDLANDS BLVD, SUITE 212, REDLANDS, CA 92373-4775
(909) 335-8649
(909) 557-1924
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C23618
CA
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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