Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY SCOTT PETERSON, MD
Active Sole ProprietorSports Medicine (EM) · PALO ALTO, CA
Registration Details
- NPI Number
- 1538240098
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2006 (19.510026319952 yrs)
- Last Updated
- May 24, 2012
- License
-
A065906 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
701 WELCH RD BLDG CPALO ALTO, CA, 943041713Browse CA providers · Browse ZIP 94304
- Phone
- 6509064014
- Fax
- 6504987748
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
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.