Individual provider · Type 1 NPI
Nathan Randall Peterson, DO
Student in an Organized Health Care Education/Training Program · Camp Penleton, CA
Practice location
Santa Margarita
Camp Penleton, CA 92055
Mailing address
573 Tarkiln Oak Cir
Pensacola, FL 32506-9677
Other practice locations
- 1700 Sycamore Ave, Kingman, AZ 86409-0927 · (928) 692-8885
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | 39020000X (AZ) |
Student in an Organized Health Care Education/Training Program: 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.
About NPI 1053459867
Nathan Randall Peterson, DO's National Provider Identifier is 1053459867, issued on Feb 2, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Camp Penleton, CA. The record was last updated on Feb 9, 2026.