Erik J Petersen MD

NPI 1922210251 - Psychiatry & Neurology - 2084H0002X

NPI Details
NPI 1922210251
Gender Male
Enumeration Date 05/07/2007
Last Updated 12/18/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
303 E VANDERBILT WAY
SAN BERNARDINO CA, 92408-3551, US
Phone (804) 334-2496
Fax
Business Location
303 E VANDERBILT WAY
SAN BERNARDINO CA, 92408-3551, US
Phone (804) 334-2496
Fax
Toxanomy
Taxonomy Code 2084H0002X
License State Virginia
License Number 0101252708
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According to our database, Dr. Erik J Petersen MD NPI is 1922210251, taxonomy code is 2084H0002X and license number is 0101252708, license state is located at Virginia. Erik J Petersen MD physically located at 303 E Vanderbilt Way, San Bernardino CA, 92408-3551. NPI Number Erik J Petersen MD has the Individual type.

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1922210251 NPI number is provided on an as is basis without warranty of any kind. 1922210251 is maintained by the National Plan & Provider Enumeration System. The contents of Erik J Petersen MD are for informational purposes only.