Individual
DR. JOHN PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 LAWRENCE EXPY, DEPT 200, SANTA CLARA, CA 95051-5173
(650) 796-8370
Mailing address
12693 ROBLE VENENO LN, UNIT 2, LOS ALTOS HILLS, CA 94022-2668
(650) 796-8370
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A109303
CA
Other
Enumeration date
03/27/2007
Last updated
12/15/2021
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