Individual provider · Type 1 NPI

David James Petersen, DPM

Foot & Ankle Surgery Podiatrist · Laguna Woods, CA

NPI number 1942250808 Active

Practice location

24191 Paseo De Valencia, Suite E
Laguna Woods, CA 92637-3167

Fax (949) 855-6939

Specialties and licenses

TaxonomyCodeLicense
Foot & Ankle Surgery Podiatrist Primary 213ES0103XE4310 (CA)

Foot & Ankle Surgery Podiatrist: Definition to come...

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About NPI 1942250808

David James Petersen, DPM's National Provider Identifier is 1942250808, issued on May 11, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Laguna Woods, CA. The record was last updated on Apr 11, 2008.