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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROY C. PETERSON, M.D.

Active

ROY C. PETERSON, M.D. is a Emergency Medical Services healthcare provider located in TEHACHAPI, California. NPI 1164662714 is currently active in the NPPES registry. Verify at CMS.

Emergency Medical Services · TEHACHAPI, CA

Registration Details

NPI Number
1164662714
Provider Type
Individual
Gender
Male
NPI Issued
Feb 23, 2009 (17.328957400577 yrs)
Last Updated
Mar 19, 2014
Licenses
G036719 (CA)
G036719 (CA)

Practice Information

Address
115 WEST E STREET
TEHACHAPI, CA, 935811900
Browse CA providers · Browse ZIP 93581
Phone
6619722874
Fax
6618238106
Primary Specialty
Emergency Medical Services
207PE0004X
Additional Specialty
Adolescent Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.