WILLIAM CHARLES PETERSON

SAN DIEGO, CA
NPI1982644084
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: CA  PA 18006)
Enumeration Date2006-06-07
Last Update Date2007-07-08
Business Address
Mr. WILLIAM CHARLES PETERSON PA-C
3350 LA JOLLA VILLAGE DR
SAN DIEGO, CA 92161-0002
Phone number: 858-642-1012
Mailing Address
Mr. WILLIAM CHARLES PETERSON PA-C
12110 PASTORAL RD
SAN DIEGO, CA 92128-2632
Phone number: 858-674-6524