Individual provider · Type 1 NPI

Alan Gunnar Peterson, PA

Surgical Physician Assistant · Roseville, CA

NPI number 1750443131 Active

Practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X16407 (CA)

Surgical Physician Assistant: Definition to come...

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About NPI 1750443131

Alan Gunnar Peterson, PA's National Provider Identifier is 1750443131, issued on Dec 14, 2006. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Roseville, CA. The record was last updated on Feb 11, 2022.