Organization
DON PETERSON MD, SUGICAL ASSISTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R PETERSON II MD (CEO)
(916) 425-3447
Entity
Organization
Contact information
Practice address
MERCY HOSPITAL OF FOLSOM (DIGNITY HEALTH FOLSOM), 1650 CREEKSIDE DR., FOLSOM, CA 95630
(916) 425-3447
Mailing address
4219 BUCHANAN DRIVE, FAIR OAKS, CA 95628
(916) 425-3447
(916) 961-0301
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G22928
CA
208D00000X
General Practice Physician
G22928
CA
Other
Enumeration date
05/18/2018
Last updated
05/18/2018
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