Dr Douglas Charles Peterson, MD | |
9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 | |
(916) 691-9574 | |
Not Available |
Full Name | Dr Douglas Charles Peterson |
---|---|
Gender | Male |
Speciality | General Practice |
Location | 9260 Laguna Springs Dr, Elk Grove, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174739288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | G42408 (California) | Secondary |
208D00000X | General Practice | G42408 (California) | Primary |
209800000X | Legal Medicine | G42408 (California) | Secondary |
Mailing Address | Practice Location Address |
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Dr Douglas Charles Peterson, MD Po Box 588500, Suite E2-308, Elk Grove, CA 95758-8500 Ph: (916) 691-9574 | Dr Douglas Charles Peterson, MD 9260 Laguna Springs Dr, Suite E2-308, Elk Grove, CA 95758-7947 Ph: (916) 691-9574 |