Organization
QUALITY MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD R PETERSON II MD (OWNER/PHYSICIAN)
(916) 784-1050
Entity
Organization
Contact information
Practice address
151 N SUNRISE AVE STE 611, ROSEVILLE, CA 95661-2926
(916) 784-1050
(916) 784-1989
Mailing address
151 N SUNRISE AVE, SUITE 611, ROSEVILLE, CA 95661-2924
(916) 784-1050
(916) 784-1989
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFC27635
CA
106H00000X
Marriage & Family Therapist
MFC38009
CA
208600000X
Surgery Physician
G22928
CA
208D00000X
General Practice Physician
Primary
G22928
CA
Other
Enumeration date
02/13/2014
Last updated
01/16/2015
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