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Individual

DR. PETER HESELTINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, FACP

Contact information

Practice address
200 S MANCHESTER AVE, SUITE 514, ORANGE, CA 92868-3217
(714) 773-6702
Mailing address
32472 AZORES RD, DANA POINT, CA 92629-3607
(858) 882-8587

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
A29490
CA

Other

Enumeration date
03/23/2007
Last updated
11/21/2011
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