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Mary Margaret Petersen, DO
Student in an Organized Health Care Education/Training Program in Sacramento, California
NPI 1487355459

Mary Margaret Petersen is a Student in an Organized Health Care Education/Training Program based in Phoenix, CA. Mary Margaret Petersen practices in Sacramento, CA and has the professional credentials of DO. The NPI Number for Mary Margaret Petersen is 1487355459 and holds a License No. (California).

The current practice location address for Mary Margaret Petersen is 2315 Stockton Blvd, Sacramento, CA and can be reached out via phone at 916-734-2011.

Location: 2315 Stockton Blvd, Sacramento, CA, 85021-7114
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487355459
Provider Name
Mary Margaret Petersen
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
2315 Stockton Blvd, Sacramento, CA, 85021-7114
Phone Number
916-734-2011
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2315 Stockton Blvd
City
Sacramento
State
California
Zip
95817-2201
Phone Number
916-734-2011
Fax Number
person
Provider Business Mailing Address Details
Address
2315 Stockton Blvd
City
Sacramento
State
California
Zip
95817-2201
Phone Number
916-734-2011
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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