Organization
DONALD R. PETERSON,II, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD RAYMOND PETERSON M.D. (PRESIDENT)
(916) 783-7533
Entity
Organization
Contact information
Practice address
729 SUNRISE AVE, SUITE 610, ROSEVILLE, CA 95661-4565
(916) 783-7533
Mailing address
729 SUNRISE AVE, SUITE 610, ROSEVILLE, CA 95661-4565
(916) 783-7533
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
06/16/2007
Last updated
08/22/2020
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