Peterson, Gary

Peterson, Gary is an individual health care provider with primary practice located at 3629 Vista Way , Oceanside CA 92056-4522. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Peterson, Gary can be contacted via phone (760) 828-9200.

Contact Information

Primary practice address
3629 Vista Way Oceanside CA 92056-4522
Phone: (760) 828-9200
Fax: (760) 828-9141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 16479 California

Profile Details

NPI number 1629147731
LBN Legal business name Peterson, Gary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Dec 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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