Individual
PETER E. ZAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3010 CHILDRENS WAY, 2 WEST, SAN DIEGO, CA 92123-4223
(858) 966-5811
Mailing address
3020 CHILDRENS WAY MC 5003, SAN DIEGO, CA 92123-4223
(858) 309-6300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
M2507
TX
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
C141853
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
177766601
—
TX
Enumeration date
09/15/2006
Last updated
04/22/2016
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