Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOUGLAS CHARLES PETERSON, MD
ActiveDR. DOUGLAS CHARLES PETERSON, MD is a General Practice healthcare provider located in ELK GROVE, California. NPI 1174739288 is currently active in the NPPES registry. Verify at CMS.
General Practice · ELK GROVE, CA
Registration Details
- NPI Number
- 1174739288
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 15, 2007 (19.067743130267 yrs)
- Last Updated
- Apr 22, 2013
- Licenses
-
G42408 (CA)G42408 (CA)G42408 (CA)
Practice Information
- Address
-
9260 LAGUNA SPRINGS DRSUITE E2-308ELK GROVE, CA, 957587947Browse CA providers · Browse ZIP 95758
- Phone
- 9166919574
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
- Additional Specialty
- Legal 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.