Individual
MR. ALAN GUNNAR PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 784-5175
Mailing address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
16407
CA
Other
Enumeration date
12/14/2006
Last updated
02/11/2022
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