Individual provider · Type 1 NPI

Douglas Charles Peterson, MD

General Practice Physician · Elk Grove, CA

NPI number 1174739288 Active

Practice location

9260 Laguna Springs Dr, Suite E2-308
Elk Grove, CA 95758-7947

Mailing address

PO Box 588500, Suite E2-308
Elk Grove, CA 95758-8500

Specialties and licenses

TaxonomyCodeLicense
Pediatrics Physician 208000000XG42408 (CA)
General Practice Physician Primary 208D00000XG42408 (CA)
Legal Medicine (M.D./D.O.) Physician 209800000XG42408 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1174739288

Douglas Charles Peterson, MD's National Provider Identifier is 1174739288, issued on May 15, 2007. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Elk Grove, CA. The record was last updated on Apr 22, 2013.