Organization · Type 2 NPI

Jeannette Peterson MD Inc

Primary Care Clinic/Center · Fairfield, CA

NPI number 1194735811 Active

Practice location

1261 Travis Blvd, Suite 100
Fairfield, CA 94533-4897

Fax (707) 422-0549

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XA76492 (CA)

Primary Care Clinic/Center: Definition to come...

17 other providers at this address

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About NPI 1194735811

Jeannette Peterson MD Inc's National Provider Identifier is 1194735811, issued on Aug 8, 2006. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Fairfield, CA. The record was last updated on Jul 18, 2011.