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Mr. William Charles Peterson, PA-C
Medical Physician Assistant in San Diego, California
NPI 1982644084

William Charles Peterson is a Medical Physician Assistant based in San Diego, CA and is specialized in Medical. William Charles Peterson practices in San Diego, CA and has the professional credentials of PA-C. The NPI Number for William Charles Peterson is 1982644084 and holds a License No. PA 18006 (California).

The current practice location address for William Charles Peterson is 3350 La Jolla Village Dr, San Diego, CA and can be reached out via phone at 858-642-1012.

Location: 3350 La Jolla Village Dr, San Diego, CA, 92128-2632
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982644084
Provider Name
William Charles Peterson
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
3350 La Jolla Village Dr, San Diego, CA, 92128-2632
Phone Number
858-642-1012
Fax Number
Provider Enumeration Date
06/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-642-1012
Fax Number
person
Provider Business Mailing Address Details
Address
3350 La Jolla Village Dr
City
San Diego
State
California
Zip
92161-0002
Phone Number
858-642-1012
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
PA 18006 (California)
Definition
Definition to come...
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