Justin Ross Peterson, MD | |
15301 Warren Shingle Rd, Attn: Ken Winn, Credential Coordinator, Beale Afb, CA 95903 | |
(530) 634-4662 | |
Not Available |
Full Name | Justin Ross Peterson |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 15301 Warren Shingle Rd, Beale Afb, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174948012 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 0101259916 (Virginia) | Secondary |
207R00000X | Internal Medicine | 154828 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Justin Ross Peterson, MD 15301 Warren Shingle Rd., Beale Afb, CA 95903 Ph: (530) 634-4662 | Justin Ross Peterson, MD 15301 Warren Shingle Rd, Attn: Ken Winn, Credential Coordinator, Beale Afb, CA 95903 Ph: (530) 634-4662 |
Dr. Nathaniel Dean Ford, MD, MPH Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15301 Warren Shingle Rd, Beale Afb, CA 95903 Phone: 153-063-4294 | |
Dr. Michael A Shaub, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 15301 Warren Shingle Rd, Beale Afb, CA 95903 Phone: 530-634-4662 | |
Nicolas Lara, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 15301 Warren Shingle Rd, Beale Afb, CA 95903 Phone: 530-634-2941 |