Individual
DR. JOHN LOUIS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9781 BLUE LARKSPUR LN STE 100, MONTEREY, CA 93940-6509
(831) 333-9008
(831) 333-9010
Mailing address
6399 SAN IGNACIO AVE # 120, SAN JOSE, CA 95119-1215
(408) 369-5600
(408) 558-7949
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
1862071205
UT
207N00000X
Dermatology Physician
Primary
G58431
CA
Other
Enumeration date
07/10/2006
Last updated
01/14/2019
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