DR. Douglas Charles Peterson, MD

NPI #1174739288 in Elk Grove, California

Provider Information

NPI Number: 1174739288
Entity Type: Individual
Name: DR. Douglas Charles Peterson, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: General Practice
Credential: MD
Enumeration Date: May 15, 2007
Last Updated: Apr 22, 2013

Practice Location

Address: 9260 LAGUNA SPRINGS DR
Address 2: SUITE E2-308
City: Elk Grove
State: California
ZIP Code: 95758-7947
Phone: (916) 691-9574

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
General Practice	208D00000X	Primary
Legal Medicine	209800000X

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