Brian Jared Peterson, PAC

NPI #1225119621 in Alpine, California

Provider Information

NPI Number: 1225119621
Entity Type: Individual
Name: Brian Jared Peterson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: PAC
Enumeration Date: Oct 18, 2006
Last Updated: Mar 7, 2023

Practice Location

Address: 1730 ALPINE BLVD STE 109B
City: Alpine
State: California
ZIP Code: 91901-3877
Phone: (619) 326-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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