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Individual

DR. SCOTT J. PETERSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 620-9222
Mailing address
275 W MACARTHUR BLVD, OAKLAND, CA 94611-5641
(510) 752-1000
(510) 620-9222

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G066975
CA

Other

Enumeration date
01/05/2007
Last updated
12/15/2021
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