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1336199678
DAVID A PETERSON
MODESTO, CA
NPI
1336199678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA G61388)
Enumeration Date
2006-05-10
Last Update Date
2019-06-11
Business Address
DAVID A PETERSON M.D.
3612 DALE RD
MODESTO, CA 95356-0500
Phone number: 209-522-0146
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Mailing Address
DAVID A PETERSON M.D.
10470 OLD PLACERVILLE RD STE 100
SACRAMENTO, CA 95827-2539
Phone number: 800-470-0071
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