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Richard Bertram Peterson, MD
Diagnostic Radiology Physician in Santa Cruz, California
NPI 1760496202

Richard Bertram Peterson is a Diagnostic Radiology Physician based in Santa Cruz, CA and is specialized in Diagnostic Radiology. Richard Bertram Peterson practices in Santa Cruz, CA and has the professional credentials of MD. The NPI Number for Richard Bertram Peterson is 1760496202 and holds a License No. G28341 (California).

The current practice location address for Richard Bertram Peterson is 1661 Soquel Dr, Santa Cruz, CA and can be reached out via phone at 831-476-1542 and via fax at 831-464-8977.

Location: 1661 Soquel Dr, Santa Cruz, CA, 95065-1709
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760496202
Provider Name
Richard Bertram Peterson
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1661 Soquel Dr, Santa Cruz, CA, 95065-1709
Phone Number
831-476-1542
Fax Number
831-464-8977
Provider Enumeration Date
07/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00G283410 05 CA
institution
Provider Business Practice Location Address Details
Address
1661 Soquel Dr
City
Santa Cruz
State
California
Zip
95065-1709
Phone Number
831-476-1542
Fax Number
831-464-8977
person
Provider Business Mailing Address Details
Address
1661 Soquel Dr
City
Santa Cruz
State
California
Zip
95065-1709
Phone Number
831-476-1542
Fax Number
831-464-8977
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
G28341 (California)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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