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Brian Jared Peterson, PAC
Emergency Medicine Physician in Alpine, California
NPI 1225119621

Brian Jared Peterson is a Emergency Medicine Physician based in Alpine, CA. Brian Jared Peterson practices in Alpine, CA and has the professional credentials of PAC. The NPI Number for Brian Jared Peterson is 1225119621 and holds a License No. MA051614 (California).

The current practice location address for Brian Jared Peterson is 1730 Alpine Blvd Ste 109B, Alpine, CA and can be reached out via phone at 619-326-4445 and via fax at 619-722-1721. You can also correspond with Brian Jared Peterson through the mailing address at 2710 ALPINE BLVD # 434, ALPINE, CA - 91901-2276 (mailing address contact number: 619-326-4445).

Location: 1730 Alpine Blvd Ste 109B, Alpine, CA, 91901-2276
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225119621
Provider Name
Brian Jared Peterson
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
1730 Alpine Blvd Ste 109B, Alpine, CA, 91901-2276
Phone Number
619-326-4445
Fax Number
619-722-1721
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MA051614 01 PA STATE LICENSE
1061442 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
1730 Alpine Blvd Ste 109B
City
Alpine
State
California
Zip
91901-3877
Phone Number
619-326-4445
Fax Number
619-722-1721
person
Provider Business Mailing Address Details
Address
2710 Alpine Blvd # 434
City
Alpine
State
California
Zip
91901-2276
Phone Number
619-326-4445
Fax Number
619-722-1721
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Emergency Medicine
Speciality
-
Taxonomy
207P00000X
License No.
MA051614 (Pennsylvania)
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
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