Peterson, Todd Bailey
Peterson, Todd Bailey is an individual health care provider with primary practice located at 34800 Bob Wilson Dr , San Diego CA 92134-1098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Peterson, Todd Bailey can be contacted via phone (619) 532-7577.Contact Information
Primary practice address
34800 Bob Wilson Dr
San Diego CA 92134-1098
Phone: (619) 532-7577
Fax: (619) 532-7673
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | G83455 | California |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | G83455 | California |
Profile Details
| NPI number | 1386640548 |
|---|---|
| LBN Legal business name | Peterson, Todd Bailey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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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