Individual
DR. PETER ANTHONY WAWRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 N TUSTIN AVE, SUITE 305, SANTA ANA, CA 92705-3612
(714) 953-4442
(714) 564-0399
Mailing address
801 N TUSTIN AVE, SUITE 305, SANTA ANA, CA 92705-3612
(714) 953-4442
(714) 564-0399
Taxonomy
Speciality
Code
Description
License number
State
2086S0127X
Trauma Surgery Physician
G44719
CA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
G44719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G447191
—
CA
Enumeration date
06/01/2006
Last updated
08/08/2007
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