Individual
DR. JEFFREY SCOTT PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 WELCH RD BLDG C, PALO ALTO, CA 94304-1713
(650) 906-4014
(650) 498-7748
Mailing address
701 WELCH RD BLDG C, PALO ALTO, CA 94304-1713
(650) 906-4014
(650) 498-7748
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
A065906
CA
Other
Enumeration date
10/18/2006
Last updated
05/24/2012
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