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Steven H Peterson, MD
Specialist in Sonora, California
NPI 1083774897

Steven H Peterson is a Specialist based in Sonora, CA. Steven H Peterson practices in Sonora, CA and has the professional credentials of MD. The NPI Number for Steven H Peterson is 1083774897 and holds a License No. G43320 (California).

The current practice location address for Steven H Peterson is 691 Pauline Ct, Sonora, CA and can be reached out via phone at 209-532-6961 and via fax at 209-532-0537.

Location: 691 Pauline Ct, Sonora, CA, 95370-5216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083774897
Provider Name
Steven H Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
691 Pauline Ct, Sonora, CA, 95370-5216
Phone Number
209-532-6961
Fax Number
209-532-0537
Provider Enumeration Date
12/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G43320 05 CA
CQ974Z 01 CA STAFF INDIV PTAN MEDICARE-TEMPLETON/TWIN CITIES COMM HOSP
institution
Provider Business Practice Location Address Details
Address
691 Pauline Ct
City
Sonora
State
California
Zip
95370-5216
Phone Number
209-532-6961
Fax Number
209-532-0537
person
Provider Business Mailing Address Details
Address
691 Pauline Ct
City
Sonora
State
California
Zip
95370-5216
Phone Number
209-532-6961
Fax Number
209-532-0537
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
G43320 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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