Individual provider · Type 1 NPI

William Charles Peterson, PA-C

Medical Physician Assistant · San Diego, CA

NPI number 1982644084 Active

Practice location

3350 La Jolla Village Dr
San Diego, CA 92161-0002

Call (858) 642-1012 Map

Mailing address

12110 Pastoral Rd
San Diego, CA 92128-2632

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA 18006 (CA)

Medical Physician Assistant: Definition to come...

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About NPI 1982644084

William Charles Peterson, PA-C's National Provider Identifier is 1982644084, issued on Jun 7, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in San Diego, CA. The record was last updated on Jul 8, 2007.