Individual
RALPH L PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10520 MACARTHUR BLVD, OAKLAND, CA 94605-5248
(510) 562-7467
(510) 635-9025
Mailing address
10520 MACARTHUR BLVD, OAKLAND, CA 94605-5248
(510) 562-7467
(510) 635-9025
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G49099
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G490990
—
CA
Enumeration date
07/20/2006
Last updated
12/02/2011
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